Madruga, Mario
Madruga, Mario is an individual health care provider with primary practice located at 21 W Columbia St Mp 160, Orlando FL 32806-1133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Madruga, Mario can be contacted via phone (321) 841-6600.Contact Information
Primary practice address
21 W Columbia St Mp 160
Orlando FL 32806-1133
Phone: (321) 841-6600
Fax: (321) 841-4085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME70053 | Florida |
Profile Details
| NPI number | 1568432623 |
|---|---|
| LBN Legal business name | Madruga, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Nov 10th, 2016 - about 9 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 | 1568432623 | NPPES |
| Florida | MEDICAID | 379796100 | |
| Florida | Other | ME70053 |
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