Mogollon, Orlando

Mogollon, Orlando is an sole proprietor health care provider with primary practice located at 4560 Williamstown Blvd , Lakeland FL 33810-2738. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Mogollon, Orlando can be contacted via phone (407) 535-0055.

Contact Information

Primary practice address
4560 Williamstown Blvd Lakeland FL 33810-2738
Phone: (407) 535-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 16-461

Profile Details

NPI number 1154952075
LBN Legal business name Mogollon, Orlando
Credentials SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2020
Last updated Jan 29th, 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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