Isaac, Gustavo

Isaac, Gustavo is an individual health care provider with primary practice located at 2001 W 68Th St , Hialeah FL 33016-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Isaac, Gustavo can be contacted via phone (305) 822-6914.

Contact Information

Primary practice address
2001 W 68Th St Hialeah FL 33016-1801
Phone: (305) 822-6914
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X ME65335 Florida

Profile Details

NPI number 1689614620
LBN Legal business name Isaac, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 7th, 2013 - about 11 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 1689614620 NPPES
Florida MEDICAID 252645000

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