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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers