Cooduvalli, Betsy

Cooduvalli, Betsy is an individual health care provider with primary practice located at 500 N Washington Ave Ste 109 , Titusville FL 32796. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Cooduvalli, Betsy can be contacted via phone (321) 768-1600.

Contact Information

Primary practice address
500 N Washington Ave Ste 109 Titusville FL 32796
Phone: (321) 768-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS10726 Florida

Profile Details

NPI number 1437410230
LBN Legal business name Cooduvalli, Betsy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2012
Last updated Aug 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437410230 NPPES
Florida Other 4583149 CIGNA
Florida Other 14M7E CIGNA

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