Panos, John
Panos, John is an individual health care provider with primary practice located at 1905 Clint Moore Rd #212 , Boca Raton FL 33496. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Panos, John can be contacted via phone (561) 989-9070.Contact Information
Primary practice address
1905 Clint Moore Rd #212
Boca Raton FL 33496
Phone: (561) 989-9070
Fax: (561) 989-0255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 85030 | Florida |
Profile Details
| NPI number | 1407887128 |
|---|---|
| LBN Legal business name | Panos, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jun 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407887128 | NPPES |
| Florida | MEDICAID | 265762700 |
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