Laquis, George Anthony
Laquis, George Anthony is an sole proprietor health care provider with primary practice located at 5412 E Leitner Dr , Coral Springs FL 33067-2045. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. Laquis, George Anthony can be contacted via phone (954) 856-4588.Contact Information
Primary practice address
5412 E Leitner Dr
Coral Springs FL 33067-2045
Phone: (954) 856-4588
Fax: (954) 341-4129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prevention Professional | 405300000X | 33302 | Florida |
Profile Details
| NPI number | 1518407428 |
|---|---|
| LBN Legal business name | Laquis, George Anthony |
| Credentials | M.D, C.M |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2017 |
| Last updated | Feb 27th, 2017 - about 7 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 | 1518407428 | NPPES |
| Florida | MEDICAID | 048893300 |
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