Endo, Atsushi

Endo, Atsushi is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3706. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Endo, Atsushi can be contacted via phone (352) 273-7375.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3706
Phone: (352) 273-7375
Fax: (352) 273-7388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME140212 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C152920 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301085697 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 266010 Massachusetts
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 85016 Georgia

Profile Details

NPI number 1366517005
LBN Legal business name Endo, Atsushi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 22nd, 2020 - 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 1366517005 NPPES
Florida MEDICAID 103407600

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