Mitri, Ghaith
Mitri, Ghaith is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Rheumatology Dept., Jacksonville FL 32209-6511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Mitri, Ghaith can be contacted via phone (904) 383-1005.Contact Information
Primary practice address
655 W 8Th St Ufjp Rheumatology Dept.
Jacksonville FL 32209-6511
Phone: (904) 383-1005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD 35636 | Tennessee |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ME81491 | Florida |
Profile Details
| NPI number | 1770586828 |
|---|---|
| LBN Legal business name | Mitri, Ghaith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 30th, 2010 - about 15 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 | 1770586828 | NPPES |
| Tennessee | MEDICAID | 3870948 | |
| Tennessee | MEDICAID | 854077880A | |
| Tennessee | MEDICAID | 2794144-00 |
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