Comenencia, Edsel J
Comenencia, Edsel J is an sole proprietor health care provider with primary practice located at 7148 Curry Ford Rd Suite 100, Orlando FL 32822-5803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Comenencia, Edsel J can be contacted via phone (407) 482-2221.Contact Information
Primary practice address
7148 Curry Ford Rd Suite 100
Orlando FL 32822-5803
Phone: (407) 482-2221
Fax: (407) 482-2284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME78656 | Florida |
Profile Details
| NPI number | 1942201561 |
|---|---|
| LBN Legal business name | Comenencia, Edsel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Nov 23rd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942201561 | NPPES |
| Florida | MEDICAID | 258070500 |
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