Cuesta, Angel L
Cuesta, Angel L is an sole proprietor health care provider with primary practice located at 6831 Nw 11Th Pl Ste 3 , Gainesville FL 32605-4259. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Cuesta, Angel L can be contacted via phone (352) 331-3077.Contact Information
Primary practice address
6831 Nw 11Th Pl Ste 3
Gainesville FL 32605-4259
Phone: (352) 331-3077
Fax: (352) 331-3265
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO2016 | Florida |
Profile Details
NPI number | 1306862743 |
---|---|
LBN Legal business name | Cuesta, Angel L |
Credentials | DPM, FACFAS, PA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 15th, 2006 |
Last updated | Apr 22nd, 2010 - about 14 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 | 1306862743 | NPPES |
Florida | MEDICAID | 054892800 | |
Florida | Other | 65174 | |
Florida | Other | 1074HILH | |
Florida | Other | 31257 |
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