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
Phone: (352) 373-4300
Fax: (352) 373-4572
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831393644 | NPPES |
| Other | LREH9 | FLORIDA BLUE |
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