Fernandez Miro, Ulises D

Fernandez Miro, Ulises D is an sole proprietor health care provider with primary practice located at 1874 Se Port St Lucie Blvd , Port St Lucie FL 34952-5545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fernandez Miro, Ulises D can be contacted via phone (772) 337-7676.

Contact Information

Primary practice address
1874 Se Port St Lucie Blvd Port St Lucie FL 34952-5545
Phone: (772) 337-7676
Fax: (772) 337-9034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME0076116 Florida

Profile Details

NPI number 1184670333
LBN Legal business name Fernandez Miro, Ulises D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Jun 8th, 2011 - about 15 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 1184670333 NPPES
Florida Other 43618 BCBS FLORIDA
Florida MEDICAID 254498900 BCBS FLORIDA
Florida Other 050088996 BCBS FLORIDA

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