Josephkutty, Sebastian -

Josephkutty, Sebastian - is an sole proprietor health care provider with primary practice located at 301 Health Park Blvd Suite # 326, St Augustine FL 32086-5793. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Josephkutty, Sebastian - can be contacted via phone (904) 824-4532.

Contact Information

Primary practice address
301 Health Park Blvd Suite # 326 St Augustine FL 32086-5793
Phone: (904) 824-4532
Fax: (904) 824-4024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 167315 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 167315 Florida

Profile Details

NPI number 1598840001
LBN Legal business name Josephkutty, Sebastian -
Credentials M.D; FCCP.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1598840001 NPPES
Florida MEDICAID 255224800

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