Ardila, Bobby John

Ardila, Bobby John is an individual health care provider with primary practice located at 410 Celebration Pl Suite 200, Celebration FL 34747-5433. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ardila, Bobby John can be contacted via phone (407) 303-4673.

Contact Information

Primary practice address
410 Celebration Pl Suite 200 Celebration FL 34747-5433
Phone: (407) 303-4673
Fax: (407) 303-4674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102779 Florida

Profile Details

NPI number 1699737783
LBN Legal business name Ardila, Bobby John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Apr 20th, 2009 - about 16 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 1699737783 NPPES
Florida MEDICAID 291863300

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