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
Phone: (727) 341-4874
Fax: (727) 341-4925
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467509455 | NPPES |
Florida | Other | ME91778 | MEDICAL LICENSE |
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