Cisneros, Gregorio Alfonso
Cisneros, Gregorio Alfonso is an sole proprietor health care provider with primary practice located at 17 Old Kings Rd N Ste J , Palm Coast FL 32137-8283. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cisneros, Gregorio Alfonso can be contacted via phone (386) 446-4141.Contact Information
Primary practice address
17 Old Kings Rd N Ste J
Palm Coast FL 32137-8283
Phone: (386) 446-4141
Fax: (386) 264-6764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME84611 | Florida |
Profile Details
| NPI number | 1801893854 |
|---|---|
| LBN Legal business name | Cisneros, Gregorio Alfonso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Apr 17th, 2024 - about 5 months 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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