Couto Barbosa, Elias Ivan
Couto Barbosa, Elias Ivan is an sole proprietor health care provider with primary practice located at 820 Prudential Dr Ste 304 , Jacksonville FL 32207-8205. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Couto Barbosa, Elias Ivan can be contacted via phone (904) 202-3860.Contact Information
Primary practice address
820 Prudential Dr Ste 304
Jacksonville FL 32207-8205
Phone: (904) 202-3860
Fax: (904) 202-3846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME124789 | Florida |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 124789 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME124789 | Florida |
Profile Details
| NPI number | 1992065163 |
|---|---|
| LBN Legal business name | Couto Barbosa, Elias Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2012 |
| Last updated | Mar 20th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992065163 | NPPES |
| Florida | Other | ME124789 | FLORIDA BOARD OF MEDICINE |
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