Mangudo, Jean-Paul Cerceaux

Mangudo, Jean-Paul Cerceaux is an individual health care provider with primary practice located at 4300 Alton Rd , Miami Beach FL 33140-2948. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mangudo, Jean-Paul Cerceaux can be contacted via phone (305) 250-0758.

Contact Information

Primary practice address
4300 Alton Rd Miami Beach FL 33140-2948
Phone: (305) 250-0758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME123999 Florida

Profile Details

NPI number 1407143514
LBN Legal business name Mangudo, Jean-Paul Cerceaux
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2011
Last updated Aug 12th, 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.

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