Bertot, Ivan A

Bertot, Ivan A is an sole proprietor health care provider with primary practice located at 8757 Nw 139Th Ter , Miami Lakes FL 33018-7379. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bertot, Ivan A can be contacted via phone (786) 333-6191.

Contact Information

Primary practice address
8757 Nw 139Th Ter Miami Lakes FL 33018-7379
Phone: (786) 333-6191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11009321 Florida

Profile Details

NPI number 1356949192
LBN Legal business name Bertot, Ivan A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2020
Last updated Oct 14th, 2020 - about 6 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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