Costa, Manuel Emilio

Costa, Manuel Emilio is an sole proprietor health care provider with primary practice located at 791 E 48Th St , Hialeah FL 33013-1959. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Costa, Manuel Emilio can be contacted via phone (305) 769-0252.

Contact Information

Primary practice address
791 E 48Th St Hialeah FL 33013-1959
Phone: (305) 769-0252
Fax: (305) 953-0707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN 8736 Florida

Profile Details

NPI number 1659495307
LBN Legal business name Costa, Manuel Emilio
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1659495307 NPPES
Florida MEDICAID 071495000

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