Lavergne, Jose A

Lavergne, Jose A is an individual health care provider with primary practice located at 16855 Ne 2Nd Ave #202, North Miami Beach FL 33162-1744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lavergne, Jose A can be contacted via phone (305) 770-0062.

Contact Information

Primary practice address
16855 Ne 2Nd Ave #202 North Miami Beach FL 33162-1744
Phone: (305) 770-0062
Fax: (305) 770-1060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0090103 Florida

Profile Details

NPI number 1003899212
LBN Legal business name Lavergne, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Oct 23rd, 2008 - 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 1003899212 NPPES
Florida MEDICAID 271347100

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