Depadua, Maria Eloisa

Depadua, Maria Eloisa is an individual health care provider with primary practice located at 201 Magnolia Ave Sw , Winter Haven FL 33880-2943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Depadua, Maria Eloisa can be contacted via phone (866) 234-8534.

Contact Information

Primary practice address
201 Magnolia Ave Sw Winter Haven FL 33880-2943
Phone: (866) 234-8534
Fax: (863) 229-7999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME68809 Florida

Profile Details

NPI number 1801880448
LBN Legal business name Depadua, Maria Eloisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Aug 31st, 2022 - about 4 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 1801880448 NPPES
Florida MEDICAID 378200000

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