Colmenares Rodriguez, Paul Gagarin

Colmenares Rodriguez, Paul Gagarin is an sole proprietor health care provider with primary practice located at 10090 Madison Banks St , Orlando FL 32827-6940. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Colmenares Rodriguez, Paul Gagarin can be contacted via phone (407) 715-1683.

Contact Information

Primary practice address
10090 Madison Banks St Orlando FL 32827-6940
Phone: (407) 715-1683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN-9529942 Florida
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 16-743 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F09231243 Florida

Profile Details

NPI number 1447800164
LBN Legal business name Colmenares Rodriguez, Paul Gagarin
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2019
Last updated Oct 1st, 2023 - about last year

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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