Kaufman, Mauricio Simon
Kaufman, Mauricio Simon is an individual health care provider with primary practice located at 60 Memorial Medical Parkway , Palm Coast FL 32164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kaufman, Mauricio Simon can be contacted via phone (386) 886-4383.Contact Information
Primary practice address
60 Memorial Medical Parkway
Palm Coast FL 32164
Phone: (386) 886-4383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME64907 | Florida |
Profile Details
| NPI number | 1518905603 |
|---|---|
| LBN Legal business name | Kaufman, Mauricio Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Dec 19th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518905603 | NPPES |
| Florida | Other | 25832 | BCBS |
| Florida | MEDICAID | 375922900 | BCBS |
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