Pochcial, Kajetan M

Pochcial, Kajetan M is an sole proprietor health care provider with primary practice located at 601 1St St N , Winter Haven FL 33881-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pochcial, Kajetan M can be contacted via phone (863) 294-0670.

Contact Information

Primary practice address
601 1St St N Winter Haven FL 33881-4129
Fax: (863) 298-3200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME68589 Florida

Profile Details

NPI number 1013986900
LBN Legal business name Pochcial, Kajetan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Jul 17th, 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 1013986900 NPPES
Florida Other 110169443 MEDICARE ID/RRM PIN
Florida MEDICAID 254514400 MEDICARE ID/RRM PIN

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