Carvajal Bermejo, Marcos Jose

Carvajal Bermejo, Marcos Jose is an sole proprietor health care provider with primary practice located at 16430 Nw 59Th Ave Ste 202 , Miami Lakes FL 33014-5605. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Carvajal Bermejo, Marcos Jose can be contacted via phone (754) 201-5811.

Contact Information

Primary practice address
16430 Nw 59Th Ave Ste 202 Miami Lakes FL 33014-5605
Phone: (754) 201-5811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11017076 Florida

Profile Details

NPI number 1578223590
LBN Legal business name Carvajal Bermejo, Marcos Jose
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2021
Last updated May 16th, 2024 - 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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