De La Sota, Ileana

De La Sota, Ileana is an individual health care provider with primary practice located at 9120 -A Wiles Rd , Coral Springs FL 33067-1993. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. De La Sota, Ileana can be contacted via phone (954) 341-0074.

Contact Information

Primary practice address
9120 -A Wiles Rd Coral Springs FL 33067-1993
Fax: (954) 345-3474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME84590 Florida

Profile Details

NPI number 1134118979
LBN Legal business name De La Sota, Ileana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Oct 4th, 2013 - about 11 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 1134118979 NPPES
Florida MEDICAID 267001100

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