Octaviani, Hector

Octaviani, Hector is an individual health care provider with primary practice located at 4930 E Lake Mary Blvd , Sanford FL 32771-5003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Octaviani, Hector can be contacted via phone (407) 322-8645.

Contact Information

Primary practice address
4930 E Lake Mary Blvd Sanford FL 32771-5003
Fax: (407) 322-8725
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0047365 Florida

Profile Details

NPI number 1912901497
LBN Legal business name Octaviani, Hector
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Sep 3rd, 2020 - about 6 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 1912901497 NPPES
Florida MEDICAID 041746700

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