Castaneda, Emilio Edgardo

Castaneda, Emilio Edgardo is an sole proprietor health care provider with primary practice located at 12177 Pembroke Rd , Pembroke Pines FL 33025-1727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Castaneda, Emilio Edgardo can be contacted via phone (954) 436-0555.

Contact Information

Primary practice address
12177 Pembroke Rd Pembroke Pines FL 33025-1727
Fax: (954) 436-0108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME 32388 Florida

Profile Details

NPI number 1194858746
LBN Legal business name Castaneda, Emilio Edgardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Oct 22nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194858746 NPPES
Florida MEDICAID 037703100

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