Wallis-Crespo, Maria

Wallis-Crespo, Maria is an individual health care provider with primary practice located at 6500 38Th Ave N , St Petersburg FL 33710-1629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Wallis-Crespo, Maria can be contacted via phone (727) 341-4874.

Contact Information

Primary practice address
6500 38Th Ave N St Petersburg FL 33710-1629
Fax: (727) 341-4925
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME91778 Florida

Profile Details

NPI number 1467509455
LBN Legal business name Wallis-Crespo, Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 16th, 2023 - about last year

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 1467509455 NPPES
Florida Other ME91778 MEDICAL LICENSE

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