Secada, Otto L
Secada, Otto L is an sole proprietor health care provider with primary practice located at 7150 W 20Th Ave Ste 209 , Hialeah FL 33016-5531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Secada, Otto L can be contacted via phone (305) 828-5677.Contact Information
Primary practice address
7150 W 20Th Ave Ste 209
Hialeah FL 33016-5531
Phone: (305) 828-5677
Fax: (305) 828-9196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0060146 | Florida |
Profile Details
| NPI number | 1942297205 |
|---|---|
| LBN Legal business name | Secada, Otto L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Sep 19th, 2022 - about 2 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 | 1942297205 | NPPES |
| Florida | MEDICAID | 057633600 |
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