Skiba, Edward C

Skiba, Edward C is an individual health care provider with primary practice located at 2100 Se Ocean Blvd , Stuart FL 34996-3332. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Skiba, Edward C can be contacted via phone (772) 223-2115.

Contact Information

Primary practice address
2100 Se Ocean Blvd Stuart FL 34996-3332
Phone: (772) 223-2115
Fax: (772) 223-0887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101166 Florida

Profile Details

NPI number 1114979135
LBN Legal business name Skiba, Edward C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Nov 8th, 2011 - about 14 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 1114979135 NPPES
Florida MEDICAID 039775000
Florida Other Y00V3

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