Jose, Jolly Cyril

Jose, Jolly Cyril is an individual health care provider with primary practice located at 1291 Bloomingdale Ave , Valrico FL 33596-6168. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jose, Jolly Cyril can be contacted via phone (813) 653-1880.

Contact Information

Primary practice address
1291 Bloomingdale Ave Valrico FL 33596-6168
Fax: (813) 654-2778
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME79514 Florida

Profile Details

NPI number 1194798975
LBN Legal business name Jose, Jolly Cyril
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Aug 19th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194798975 NPPES
Florida MEDICAID 2717409000

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