Nunez, Boris Dalton
Nunez, Boris Dalton is an sole proprietor health care provider with primary practice located at 320 State Road 60 E , Lake Wales FL 33853-3750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Nunez, Boris Dalton can be contacted via phone (863) 679-7985.Contact Information
Primary practice address
320 State Road 60 E
Lake Wales FL 33853-3750
Phone: (863) 679-7985
Fax: (863) 679-1865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME69460 | Florida |
Profile Details
| NPI number | 1396723417 |
|---|---|
| LBN Legal business name | Nunez, Boris Dalton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2006 |
| Last updated | May 7th, 2008 - about 18 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 | 1396723417 | NPPES |
| Florida | MEDICAID | 378887300 |
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