De Moya, Victor

De Moya, Victor is an individual health care provider with primary practice located at 403A Hollywood Blvd,, Nw Suite 104, Fort Walton Beach FL 32548-4531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. De Moya, Victor can be contacted via phone (850) 244-0101.

Contact Information

Primary practice address
403A Hollywood Blvd,, Nw Suite 104 Fort Walton Beach FL 32548-4531
Phone: (850) 244-0101
Fax: (850) 243-9795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 53869 Florida

Profile Details

NPI number 1609988112
LBN Legal business name De Moya, Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 5th, 2012 - 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 1609988112 NPPES
Florida Other 09760 BLUE CROSS/BLUE SHIELD FL

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