Lilly, Van

Lilly, Van is an individual health care provider with primary practice located at 880 6Th St S Suite 470, Saint Petersburg FL 33701-4827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Lilly, Van can be contacted via phone (727) 767-4313.

Contact Information

Primary practice address
880 6Th St S Suite 470 Saint Petersburg FL 33701-4827
Phone: (727) 767-4313
Fax: (727) 767-4391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME0045834 Florida

Profile Details

NPI number 1699724187
LBN Legal business name Lilly, Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 15th, 2011 - about 13 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 1699724187 NPPES
Florida MEDICAID 0694673-00
Florida Other 15902

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