Pestana, Ivo D
Pestana, Ivo D is an sole proprietor health care provider with primary practice located at 3100 Coral Hills Dr No 201, Coral Springs FL 33065-4137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Pestana, Ivo D can be contacted via phone (954) 755-8844.Contact Information
Primary practice address
3100 Coral Hills Dr No 201
Coral Springs FL 33065-4137
Phone: (954) 755-8844
Fax: (954) 755-0272
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME33915 | Florida |
Profile Details
NPI number | 1942258645 |
---|---|
LBN Legal business name | Pestana, Ivo D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 4th, 2006 |
Last updated | Jan 16th, 2023 - about last year |
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 | 1942258645 | NPPES |
Florida | Other | GI432Z | MEDICARE |
Florida | MEDICAID | 039840300 | MEDICARE |
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