Jacas, Sergio Julio

Jacas, Sergio Julio is an sole proprietor health care provider with primary practice located at 1720 Sw 47Th Ave , Fort Lauderdale FL 33317-5619. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Jacas, Sergio Julio can be contacted via phone (954) 615-7964.

Contact Information

Primary practice address
1720 Sw 47Th Ave Fort Lauderdale FL 33317-5619
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN21198 Florida
Dental Providers / General Practice 1223G0001X DN21198 Florida

Profile Details

NPI number 1184004228
LBN Legal business name Jacas, Sergio Julio
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2015
Last updated Jun 3rd, 2015 - about 11 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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