Moguillansky, Diego

Moguillansky, Diego is an individual health care provider with primary practice located at 1600 Sw Archer Rd Congenital Heart Center, Gainesville FL 32610-0296. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Moguillansky, Diego can be contacted via phone (352) 273-7517.

Contact Information

Primary practice address
1600 Sw Archer Rd Congenital Heart Center Gainesville FL 32610-0296
Phone: (352) 273-7517
Fax: (352) 392-0547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME110760 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME110760 Florida

Profile Details

NPI number 1497984447
LBN Legal business name Moguillansky, Diego
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2009
Last updated Jan 23rd, 2012 - about 12 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 1497984447 NPPES
Florida MEDICAID 004148000
Florida Other ME110760

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