Ranon, Eric Bantayan

Ranon, Eric Bantayan is an individual health care provider with primary practice located at 564 Avenue K Se , Winter Haven FL 33880-4203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ranon, Eric Bantayan can be contacted via phone (863) 295-5604.

Contact Information

Primary practice address
564 Avenue K Se Winter Haven FL 33880-4203
Phone: (863) 295-5604
Fax: (863) 295-5398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME92650 Florida

Profile Details

NPI number 1861476137
LBN Legal business name Ranon, Eric Bantayan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 17th, 2019 - about 5 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 1861476137 NPPES
Florida MEDICAID 272227500

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