Padron, Luis E

Padron, Luis E is an sole proprietor health care provider with primary practice located at 2500 E Hallandale Beach Blvd Ste 802 , Hallandale Beach FL 33009-4841. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Padron, Luis E can be contacted via phone (786) 222-4542.

Contact Information

Primary practice address
2500 E Hallandale Beach Blvd Ste 802 Hallandale Beach FL 33009-4841
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1265016844
LBN Legal business name Padron, Luis E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2021
Last updated Feb 11th, 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 1265016844 NPPES
Florida MEDICAID 108699100

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