Nunez, Boris Dalton

Nunez, Boris Dalton is an sole proprietor health care provider with primary practice located at 320 State Road 60 E , Lake Wales FL 33853-3750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Nunez, Boris Dalton can be contacted via phone (863) 679-7985.

Contact Information

Primary practice address
320 State Road 60 E Lake Wales FL 33853-3750
Phone: (863) 679-7985
Fax: (863) 679-1865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME69460 Florida

Profile Details

NPI number 1396723417
LBN Legal business name Nunez, Boris Dalton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated May 7th, 2008 - about 17 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 1396723417 NPPES
Florida MEDICAID 378887300

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