Egas, Juan Jose
Egas, Juan Jose is an individual health care provider with primary practice located at 17807 Hunting Bow Cir , Lutz FL 33558. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Egas, Juan Jose can be contacted via phone (352) 515-0025.Contact Information
Primary practice address
17807 Hunting Bow Cir
Lutz FL 33558
Phone: (352) 515-0025
Fax: (352) 515-0174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME129841 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME129841 | Florida |
Profile Details
| NPI number | 1063675478 |
|---|---|
| LBN Legal business name | Egas, Juan Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2008 |
| Last updated | Jun 3rd, 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 | 1063675478 | NPPES |
| Florida | MEDICAID | 020516600 | |
| Florida | Other | NFU5F |
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