Izquierdo, Ernesto L

Izquierdo, Ernesto L is an individual health care provider with primary practice located at 1781 Park Center Drive Suite 120, Orlando FL 32835. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Izquierdo, Ernesto L can be contacted via phone (407) 297-3626.

Contact Information

Primary practice address
1781 Park Center Drive Suite 120 Orlando FL 32835
Phone: (407) 297-3626
Fax: (407) 297-3772
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME 95729 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME 95729 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME 95729 Florida

Profile Details

NPI number 1629182662
LBN Legal business name Izquierdo, Ernesto L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 16th, 2016 - about 8 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 1629182662 NPPES
Florida MEDICAID 276498900

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