Fraga, Eduardo C

Fraga, Eduardo C is an sole proprietor health care provider with primary practice located at 944 N Krome Ave , Homestead FL 33030-4409. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Fraga, Eduardo C can be contacted via phone (305) 248-5004.

Contact Information

Primary practice address
944 N Krome Ave Homestead FL 33030-4409
Phone: (305) 248-5004
Fax: (305) 248-8375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DO1719 Florida

Profile Details

NPI number 1659598548
LBN Legal business name Fraga, Eduardo C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 18 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 1659598548 NPPES
Florida MEDICAID PENDING

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