Crisologo, Flor De Maria

Crisologo, Flor De Maria is an sole proprietor health care provider with primary practice located at 209 Ne 95Th St Suite 9, Miami Shores FL 33138-2745. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Medical. Nursing Service Providers / Registered Nurse is her primary health care specialty. Crisologo, Flor De Maria can be contacted via phone (305) 751-5454.

Contact Information

Primary practice address
209 Ne 95Th St Suite 9 Miami Shores FL 33138-2745
Phone: (305) 751-5454
Fax: (305) 751-1977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2114402 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9100393 Florida

Profile Details

NPI number 1306816327
LBN Legal business name Crisologo, Flor De Maria
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Jun 23rd, 2009 - about 16 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 1306816327 NPPES
Florida MEDICAID 290990100

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