Reynaldo L Descalso Md Pa

LBN: Reynaldo L Descalso Md Pa
Reynaldo L Descalso Md Pa is an health care organization with primary practice located at 1221 W Stratford Rd , Avon Park FL 33825-8091. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Reynaldo L Descalso Md Pa can be contacted via phone (863) 453-7579, or through Descalso, Rey Lumucso via phone (863) 453-7579.

Contact Information

Primary practice address
1221 W Stratford Rd Avon Park FL 33825-8091
Phone: (863) 453-7579
Fax: (863) 453-8390
Website:
Map and Directions
Authorized official contact:
Name: Descalso, Rey Lumucso 25032
Phone: (863) 453-7579

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25032 Florida

Profile Details

NPI number 1265628994
LBN Legal business name Reynaldo L Descalso Md Pa
DBA Doing business as
Authorized official Descalso, Rey Lumucso 25032
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2007
Last updated May 30th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265628994 NPPES
Florida MEDICAID 037572100

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