Ceron-Canas, Lourdes Carolina

Ceron-Canas, Lourdes Carolina is an individual health care provider with primary practice located at 1539 Parental Home Rd , Jacksonville FL 32216. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Ceron-Canas, Lourdes Carolina can be contacted via phone (904) 338-0434.

Contact Information

Primary practice address
1539 Parental Home Rd Jacksonville FL 32216
Phone: (904) 338-0434
Fax: (904) 425-0821
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME90074 Florida

Profile Details

NPI number 1225068513
LBN Legal business name Ceron-Canas, Lourdes Carolina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 17th, 2018 - about 7 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 1225068513 NPPES
Florida MEDICAID 269926500

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