Carbonell, Juan

Carbonell, Juan is an individual health care provider with primary practice located at 722 Riverside Dr. Ste 102, Coral Springs FL 33071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Carbonell, Juan can be contacted via phone (954) 345-4333.

Contact Information

Primary practice address
722 Riverside Dr. Ste 102 Coral Springs FL 33071
Phone: (954) 345-4333
Fax: (954) 345-4334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME74051 Florida

Profile Details

NPI number 1134153091
LBN Legal business name Carbonell, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 13th, 2011 - about 14 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 1134153091 NPPES
Florida MEDICAID 253170400

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