Laiolo, Betina P.

Laiolo, Betina P. is an individual health care provider with primary practice located at 7599 Cypress Gardens Blvd , Winter Haven FL 33884. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Laiolo, Betina P. can be contacted via phone (863) 324-4725.

Contact Information

Primary practice address
7599 Cypress Gardens Blvd Winter Haven FL 33884
Phone: (863) 324-4725
Fax: (863) 324-4783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2007032916 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME109722 Florida

Profile Details

NPI number 1275716573
LBN Legal business name Laiolo, Betina P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2007
Last updated Apr 18th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275716573 NPPES
Missouri Other 331150626 PTAN
Missouri Other 000010626 PTAN
Missouri Other 1275716573 PTAN
Missouri MEDICAID 207022609 PTAN
Missouri Other ME109722 PTAN

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