Jose G Cevallos Md-Pa
LBN: Jose G Cevallos Md-Pa
Jose G Cevallos Md-Pa is an health care organization with primary practice located at 15643 Cypress Park Dr , Wellington FL 33414-6341. The organization recently has 3 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care. Agencies / Early Intervention Provider Agency is the primary health care specialty.
Jose G Cevallos Md-Pa can be contacted via phone (305) 790-6544, or through Cevallos, Jose Gustavo via phone (305) 790-6544.
Contact Information
Primary practice address
15643 Cypress Park Dr
Wellington FL 33414-6341
Phone: (305) 790-6544
Fax:
Website:
Authorized official contact:
Name: Cevallos, Jose Gustavo Doctor of Medicine (MD)
Phone: (305) 790-6544
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | ME114288 | Florida |
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1649727074 |
|---|---|
| LBN Legal business name | Jose G Cevallos Md-Pa |
| DBA Doing business as | |
| Authorized official | Cevallos, Jose Gustavo Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Dec 8th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649727074 | NPPES |
| Florida | MEDICAID | 011046600 |
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