Amundaray, Juan Carlos

Amundaray, Juan Carlos is an sole proprietor health care provider with primary practice located at 710 Alton Rd , Miami Beach FL 33139-5504. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Amundaray, Juan Carlos can be contacted via phone (305) 538-8835.

Contact Information

Primary practice address
710 Alton Rd Miami Beach FL 33139-5504
Phone: (305) 538-8835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN15270 Florida

Profile Details

NPI number 1306218797
LBN Legal business name Amundaray, Juan Carlos
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2015
Last updated Aug 24th, 2023 - about 2 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 1306218797 NPPES
Florida MEDICAID 103735000

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