Gardeazabal, Sergio Javier

Gardeazabal, Sergio Javier is an sole proprietor health care provider with primary practice located at 11039 W Okeechobee Rd Unit 201 , Hialeah Gardens FL 33018-4256. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Gardeazabal, Sergio Javier can be contacted via phone (786) 630-5957.

Contact Information

Primary practice address
11039 W Okeechobee Rd Unit 201 Hialeah Gardens FL 33018-4256
Phone: (786) 630-5957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11007982 Florida

Profile Details

NPI number 1003416561
LBN Legal business name Gardeazabal, Sergio Javier
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2020
Last updated Oct 26th, 2020 - about 5 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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