Dejesus, Edwin
Dejesus, Edwin is an individual health care provider with primary practice located at 1707 N Mills Ave , Orlando FL 32803-1851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Dejesus, Edwin can be contacted via phone (407) 647-3960.Contact Information
Primary practice address
1707 N Mills Ave
Orlando FL 32803-1851
Phone: (407) 647-3960
Fax: (407) 413-5775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME0063956 | Florida |
Profile Details
| NPI number | 1295734101 |
|---|---|
| LBN Legal business name | Dejesus, Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | May 8th, 2024 - about 6 months 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 | 1295734101 | NPPES |
| Florida | MEDICAID | 250997100 |
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