Ibarra Moreno, Juan Carlos

Ibarra Moreno, Juan Carlos is an sole proprietor health care provider with primary practice located at 6150 Diamond Centre Ct Unit 1200 , Fort Myers FL 33912-7135. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Ibarra Moreno, Juan Carlos can be contacted via phone (239) 344-9786.

Contact Information

Primary practice address
6150 Diamond Centre Ct Unit 1200 Fort Myers FL 33912-7135
Phone: (239) 344-9786
Fax: (239) 344-9215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 13-514 Florida

Profile Details

NPI number 1780126219
LBN Legal business name Ibarra Moreno, Juan Carlos
Credentials SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2016
Last updated Apr 10th, 2020 - about 5 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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