Nieto, Jose M

Nieto, Jose M is an individual health care provider with primary practice located at 4200 Sun N Lake Blvd , Sebring FL 33872-1986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nieto, Jose M can be contacted via phone (863) 402-3103.

Contact Information

Primary practice address
4200 Sun N Lake Blvd Sebring FL 33872-1986
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 20A8097 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OS10072 Florida

Profile Details

NPI number 1225190002
LBN Legal business name Nieto, Jose M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Feb 8th, 2023 - about 2 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 1225190002 NPPES
Florida MEDICAID 279200100
Florida Other 16365

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