Carvajal, Gregory
Carvajal, Gregory is an sole proprietor health care provider with primary practice located at 3425 Nw 180Th St , Miami Gardens FL 33056-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Carvajal, Gregory can be contacted via phone (786) 663-3936.Contact Information
Primary practice address
3425 Nw 180Th St
Miami Gardens FL 33056-3429
Phone: (786) 663-3936
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | PTA12304 | Florida |
Profile Details
| NPI number | 1306404843 |
|---|---|
| LBN Legal business name | Carvajal, Gregory |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2019 |
| Last updated | May 30th, 2019 - about 7 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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