Midwall, Jay A

Midwall, Jay A is an individual health care provider with primary practice located at 5503 S Congress Ave Suite 206, Atlantis FL 33462-6625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Midwall, Jay A can be contacted via phone (561) 433-0591.

Contact Information

Primary practice address
5503 S Congress Ave Suite 206 Atlantis FL 33462-6625
Phone: (561) 433-0591
Fax: (561) 433-0891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME34420 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME34420 Florida

Profile Details

NPI number 1578505368
LBN Legal business name Midwall, Jay A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 23rd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578505368 NPPES
Florida MEDICAID 098241800
Florida Other 95245
Florida Other P00609970

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