Prioleau, John Edward
Prioleau, John Edward is an individual health care provider with primary practice located at 400 Health Park Blvd Ste 300 , St Augustine FL 32086-5784. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Prioleau, John Edward can be contacted via phone (904) 819-4082.Contact Information
Primary practice address
400 Health Park Blvd Ste 300
St Augustine FL 32086-5784
Phone: (904) 819-4082
Fax: (904) 819-5056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME94505 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME94505 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME94505 | Florida |
Profile Details
| NPI number | 1285613315 |
|---|---|
| LBN Legal business name | Prioleau, John Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Sep 29th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285613315 | NPPES |
| Florida | Other | P00715723 | RAILROAD MEDICARE |
| Florida | Other | 1776587 | RAILROAD MEDICARE |
| Florida | Other | 30942 | RAILROAD MEDICARE |
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