Chanlatte-Ithier, Marino Amaury

Chanlatte-Ithier, Marino Amaury is an sole proprietor health care provider with primary practice located at 483 N Semoran Blvd Ste #103, Winter Park FL 32792-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chanlatte-Ithier, Marino Amaury can be contacted via phone (407) 680-2273.

Contact Information

Primary practice address
483 N Semoran Blvd Ste #103 Winter Park FL 32792-3800
Phone: (407) 680-2273
Fax: (321) 274-0224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12726 Puerto Rico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME117097 Florida

Profile Details

NPI number 1831489772
LBN Legal business name Chanlatte-Ithier, Marino Amaury
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2011
Last updated Jul 1st, 2016 - about 8 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 1831489772 NPPES
Florida MEDICAID 009431000

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