Sicangco, Homero

Sicangco, Homero is an individual health care provider with primary practice located at 1301 Plantation Island Dr S #105-B, St Augustine FL 32080-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sicangco, Homero can be contacted via phone (904) 461-8906.

Contact Information

Primary practice address
1301 Plantation Island Dr S #105-B St Augustine FL 32080-3108
Phone: (904) 461-8906
Fax: (904) 461-8907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME71363 Florida

Profile Details

NPI number 1780753251
LBN Legal business name Sicangco, Homero
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780753251 NPPES
Florida MEDICAID 002981500
Florida Other 2762240
Florida Other 51003

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