Imhof, Tristan A

Imhof, Tristan A is an sole proprietor health care provider with primary practice located at 2570 Race Track Road Suite A, Saint Johns FL 32259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Imhof, Tristan A can be contacted via phone (904) 819-1005.

Contact Information

Primary practice address
2570 Race Track Road Suite A Saint Johns FL 32259
Phone: (904) 819-1005
Fax: (904) 819-1002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT211126 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME141969 Florida

Profile Details

NPI number 1699123968
LBN Legal business name Imhof, Tristan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2016
Last updated Oct 14th, 2021 - 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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