Cereceda, Mark Anthony
Cereceda, Mark Anthony is an sole proprietor health care provider with primary practice located at 207 N Krome Ave , Homestead FL 33030-6018. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Cereceda, Mark Anthony can be contacted via phone (305) 246-0056.Contact Information
Primary practice address
207 N Krome Ave
Homestead FL 33030-6018
Phone: (305) 246-0056
Fax: (305) 246-0093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | CH 6867 | Florida |
Profile Details
| NPI number | 1720100225 |
|---|---|
| LBN Legal business name | Cereceda, Mark Anthony |
| Credentials | D.C., P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720100225 | NPPES |
| Florida | Other | CH 6867 | CHIROPRACTIC PHYSICIAN LI |
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