Mas, Miguel A
Mas, Miguel A is an individual health care provider with primary practice located at 1301 Plantation Island Dr S Suite 404, St Augustine FL 32080-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mas, Miguel A can be contacted via phone (904) 461-1560.Contact Information
Primary practice address
1301 Plantation Island Dr S Suite 404
St Augustine FL 32080-3108
Phone: (904) 461-1560
Fax: (904) 461-4304
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ME52932 | Florida |
Profile Details
NPI number | 1033273511 |
---|---|
LBN Legal business name | Mas, Miguel A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2006 |
Last updated | Jul 30th, 2013 - about 11 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 | 1033273511 | NPPES |
Florida | MEDICAID | 061348700 |
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