Mitial, Dieudonne
Mitial, Dieudonne is an sole proprietor health care provider with primary practice located at 5323 Nw Aloha St , Port St Lucie FL 34986-3533. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mitial, Dieudonne can be contacted via phone (773) 263-3424.Contact Information
Primary practice address
5323 Nw Aloha St
Port St Lucie FL 34986-3533
Phone: (773) 263-3424
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 19073 | Puerto Rico |
Profile Details
NPI number | 1750766465 |
---|---|
LBN Legal business name | Mitial, Dieudonne |
Credentials | M.D., M.H.S.A |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 23rd, 2015 |
Last updated | Mar 11th, 2020 - about 4 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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