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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295734101 NPPES
Florida MEDICAID 250997100

Popular Providers