Heredia, Milagro Esmeralda
Heredia, Milagro Esmeralda is an sole proprietor health care provider with primary practice located at 608 Ingraham Ave , Haines City FL 33844-4330. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Heredia, Milagro Esmeralda can be contacted via phone (863) 422-9562.Contact Information
Primary practice address
608 Ingraham Ave
Haines City FL 33844-4330
Phone: (863) 422-9562
Fax: (863) 421-3246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN1447 | Florida |
Profile Details
| NPI number | 1265091136 |
|---|---|
| LBN Legal business name | Heredia, Milagro Esmeralda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2019 |
| Last updated | May 17th, 2024 - about 2 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 | 1265091136 | NPPES |
| Florida | MEDICAID | 116755000 |
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