Mitri, Ghaith

Mitri, Ghaith is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Rheumatology Dept., Jacksonville FL 32209-6511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Mitri, Ghaith can be contacted via phone (904) 383-1005.

Contact Information

Primary practice address
655 W 8Th St Ufjp Rheumatology Dept. Jacksonville FL 32209-6511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD 35636 Tennessee
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME81491 Florida

Profile Details

NPI number 1770586828
LBN Legal business name Mitri, Ghaith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 30th, 2010 - about 14 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 1770586828 NPPES
Tennessee MEDICAID 3870948
Tennessee MEDICAID 854077880A
Tennessee MEDICAID 2794144-00

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