Egli, Graciela F

Egli, Graciela F is an individual health care provider with primary practice located at 10710 State Road 54 Ste 108 , Trinity FL 34655-2263. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Egli, Graciela F can be contacted via phone (727) 376-4040.

Contact Information

Primary practice address
10710 State Road 54 Ste 108 Trinity FL 34655-2263
Fax: (727) 376-8824
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME115490 Florida

Profile Details

NPI number 1215908082
LBN Legal business name Egli, Graciela F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Dec 26th, 2019 - about 6 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 1215908082 NPPES
Florida MEDICAID 101318500

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