Cooduvalli, Betsy
Cooduvalli, Betsy is an individual health care provider with primary practice located at 500 N Washington Ave Ste 109 , Titusville FL 32796. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Cooduvalli, Betsy can be contacted via phone (321) 768-1600.Contact Information
Primary practice address
500 N Washington Ave Ste 109
Titusville FL 32796
Phone: (321) 768-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS10726 | Florida |
Profile Details
| NPI number | 1437410230 |
|---|---|
| LBN Legal business name | Cooduvalli, Betsy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2012 |
| Last updated | Aug 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437410230 | NPPES |
| Florida | Other | 4583149 | CIGNA |
| Florida | Other | 14M7E | CIGNA |
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