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
Phone: (352) 674-1730
Fax: (352) 674-8930
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629165329 | NPPES |
California | Other | A63347 | BLUE CROSS |
California | Other | 115 | BLUE CROSS |
California | Other | 00G601660 | BLUE CROSS |
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