Pol-Carballo, Maria Teresa

Pol-Carballo, Maria Teresa is an individual health care provider with primary practice located at 3520 W 18Th Ave Ste 115 , Hialeah FL 33012-4634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Pol-Carballo, Maria Teresa can be contacted via phone (786) 837-0897.

Contact Information

Primary practice address
3520 W 18Th Ave Ste 115 Hialeah FL 33012-4634
Phone: (786) 837-0897
Fax: (786) 837-0898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME0060604 Florida

Profile Details

NPI number 1437124047
LBN Legal business name Pol-Carballo, Maria Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2006
Last updated Mar 9th, 2021 - about 4 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 1437124047 NPPES
Florida Other ME0060604 FLORIDA LICENSE
Florida MEDICAID 372237600 FLORIDA LICENSE

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