Chacko, Simon Muttanil

Chacko, Simon Muttanil is an sole proprietor health care provider with primary practice located at 7050 Ulmerton Rd Apt 210 , Largo FL 33771-5003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Chacko, Simon Muttanil can be contacted via phone (727) 777-4540.

Contact Information

Primary practice address
7050 Ulmerton Rd Apt 210 Largo FL 33771-5003
Phone: (727) 777-4540
Fax: (727) 248-0432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9406548 Florida

Profile Details

NPI number 1477782860
LBN Legal business name Chacko, Simon Muttanil
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2009
Last updated Dec 15th, 2022 - about 3 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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