Motta, Paul Nicholas
Motta, Paul Nicholas is an sole proprietor health care provider with primary practice located at 127 E Redstone Ave Suite C, Crestview FL 32539-5358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Motta, Paul Nicholas can be contacted via phone (850) 423-0061.Contact Information
Primary practice address
127 E Redstone Ave Suite C
Crestview FL 32539-5358
Phone: (850) 423-0061
Fax: (850) 423-9954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME111380 | Florida |
Profile Details
| NPI number | 1467609198 |
|---|---|
| LBN Legal business name | Motta, Paul Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2008 |
| Last updated | May 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467609198 | NPPES |
| Florida | MEDICAID | 004266900 |
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