Tudela, Jose A.

Tudela, Jose A. is an sole proprietor health care provider with primary practice located at 1600 Sarno Rd Suite 15, Melbourne FL 32935-4938. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Tudela, Jose A. can be contacted via phone (800) 348-4565.

Contact Information

Primary practice address
1600 Sarno Rd Suite 15 Melbourne FL 32935-4938
Phone: (800) 348-4565
Fax: (888) 468-6511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16469 Puerto Rico
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 02-172 Florida

Profile Details

NPI number 1912066887
LBN Legal business name Tudela, Jose A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Sep 19th, 2016 - 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 1912066887 NPPES
Florida Other 246ZC0007X CERTIFIED SURGICAL ASSISTANT
Florida Other 16469 CERTIFIED SURGICAL ASSISTANT

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