Jampol, Michael R
Jampol, Michael R is an individual health care provider with primary practice located at 1095 Nw Saint Lucie West Blvd , Port St Lucie FL 34986-1719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jampol, Michael R can be contacted via phone (772) 785-5505.Contact Information
Primary practice address
1095 Nw Saint Lucie West Blvd
Port St Lucie FL 34986-1719
Phone: (772) 785-5505
Fax: (772) 785-5571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME72967 | Florida |
Profile Details
| NPI number | 1649299306 |
|---|---|
| LBN Legal business name | Jampol, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649299306 | NPPES |
| Florida | MEDICAID | 252942400 |
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