Mishra, Prabin C.

Mishra, Prabin C. is an individual health care provider with primary practice located at 21275 Olean Blvd , Port Charlotte FL 33952-6703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mishra, Prabin C. can be contacted via phone (941) 625-1325.

Contact Information

Primary practice address
21275 Olean Blvd Port Charlotte FL 33952-6703
Phone: (941) 625-1325
Fax: (941) 625-0131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME82698 Florida

Profile Details

NPI number 1851361869
LBN Legal business name Mishra, Prabin C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 8th, 2021 - about 3 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 1851361869 NPPES
Florida MEDICAID 277112800

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