Zamora, Carlos Rafael
Zamora, Carlos Rafael is an sole proprietor health care provider with primary practice located at 1747 Baptist Clay Dr Suite 320, Fleming Island FL 32003-8502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Zamora, Carlos Rafael can be contacted via phone (904) 224-5185.Contact Information
Primary practice address
1747 Baptist Clay Dr Suite 320
Fleming Island FL 32003-8502
Phone: (904) 224-5185
Fax: (904) 278-7284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME 108416 | Florida |
Profile Details
| NPI number | 1023314952 |
|---|---|
| LBN Legal business name | Zamora, Carlos Rafael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2011 |
| Last updated | Dec 8th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023314952 | NPPES |
| Florida | MEDICAID | 006703700 | |
| Florida | Other | P01723356 |
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