Pallavicini, Hector Ivan

Pallavicini, Hector Ivan is an sole proprietor health care provider with primary practice located at 3499 W 4Th Ave Suite 201, Hialeah FL 33012-4333. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pallavicini, Hector Ivan can be contacted via phone (305) 558-0411.

Contact Information

Primary practice address
3499 W 4Th Ave Suite 201 Hialeah FL 33012-4333
Phone: (305) 558-0411
Fax: (305) 863-3802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME38774 Florida

Profile Details

NPI number 1992764831
LBN Legal business name Pallavicini, Hector Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Nov 16th, 2010 - about 16 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 1992764831 NPPES
Florida MEDICAID 066747100

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