Jusino, Miguel Angel
Jusino, Miguel Angel is an sole proprietor health care provider with primary practice located at 28901 Trails Edge Blvd Ste 103 , Bonita Springs FL 34134-7588. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Dentist. Dental Providers / Periodontics is his primary health care specialty. Jusino, Miguel Angel can be contacted via phone (239) 913-6780.Contact Information
Primary practice address
28901 Trails Edge Blvd Ste 103
Bonita Springs FL 34134-7588
Phone: (239) 913-6780
Fax: (239) 301-2611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN23154 | Florida |
| Dental Providers / Dentist | 122300000X | 2824 | Puerto Rico |
| Dental Providers / Periodontics | 1223P0300X | 125980 | Puerto Rico |
Profile Details
| NPI number | 1558511493 |
|---|---|
| LBN Legal business name | Jusino, Miguel Angel |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2008 |
| Last updated | Dec 17th, 2019 - about 7 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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