Justiz, Patrick J

Justiz, Patrick J is an individual health care provider with primary practice located at 5051 Se 110Th St , Belleview FL 34420-3115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Justiz, Patrick J can be contacted via phone (352) 674-1730.

Contact Information

Primary practice address
5051 Se 110Th St Belleview FL 34420-3115
Fax: (352) 674-8930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A63347 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME80578 Florida

Profile Details

NPI number 1629165329
LBN Legal business name Justiz, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Feb 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629165329 NPPES
California Other A63347 BLUE CROSS
California Other 115 BLUE CROSS
California Other 00G601660 BLUE CROSS

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