Jusino, Miguel Angel

Jusino, Miguel Angel is an sole proprietor health care provider with primary practice located at 28901 Trails Edge Blvd Ste 103 , Bonita Springs FL 34134-7588. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Dentist. Dental Providers / Periodontics is his primary health care specialty. Jusino, Miguel Angel can be contacted via phone (239) 913-6780.

Contact Information

Primary practice address
28901 Trails Edge Blvd Ste 103 Bonita Springs FL 34134-7588
Fax: (239) 301-2611
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN23154 Florida
Dental Providers / Dentist 122300000X 2824 Puerto Rico
Dental Providers / Periodontics 1223P0300X 125980 Puerto Rico

Profile Details

NPI number 1558511493
LBN Legal business name Jusino, Miguel Angel
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2008
Last updated Dec 17th, 2019 - about 5 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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