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
Phone: (954) 615-7964
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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