Congote, Luis F

Congote, Luis F is an individual health care provider with primary practice located at 1514 1St St N , Winter Haven FL 33881-2476. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Congote, Luis F can be contacted via phone (863) 291-5110.

Contact Information

Primary practice address
1514 1St St N Winter Haven FL 33881-2476
Phone: (863) 291-5110
Fax: (863) 291-5128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN12668 Florida

Profile Details

NPI number 1679774426
LBN Legal business name Congote, Luis F
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Mar 2nd, 2017 - 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 1679774426 NPPES
Florida MEDICAID 019764900

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