Rios, Pastor H

Rios, Pastor H is an sole proprietor health care provider with primary practice located at 449 Se Baya Drive , Lake City FL 32025. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rios, Pastor H can be contacted via phone (386) 755-0500.

Contact Information

Primary practice address
449 Se Baya Drive Lake City FL 32025
Phone: (386) 755-0500
Fax: (386) 755-9217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME45687 Florida

Profile Details

NPI number 1588758676
LBN Legal business name Rios, Pastor H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 9th, 2007 - about 18 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 1588758676 NPPES
Florida Other 07742 BCBS PROVIDER NUMBER
Florida Other 030461 BCBS PROVIDER NUMBER

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