Endicott, Todd John

Endicott, Todd John is an individual health care provider with primary practice located at 4313 Nw 8Th Ave , Gainesville FL 32605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Endicott, Todd John can be contacted via phone (352) 373-4300.

Contact Information

Primary practice address
4313 Nw 8Th Ave Gainesville FL 32605
Fax: (352) 373-4572
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 20A 10704 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS15829 Florida

Profile Details

NPI number 1831393644
LBN Legal business name Endicott, Todd John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Mar 10th, 2023 - about 3 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 1831393644 NPPES
Other LREH9 FLORIDA BLUE

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