Prieto, Jesus

Prieto, Jesus is an individual health care provider with primary practice located at 939 Park Manor Dr , Orlando FL 32825-6744. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Prieto, Jesus can be contacted via phone (407) 432-6785.

Contact Information

Primary practice address
939 Park Manor Dr Orlando FL 32825-6744
Phone: (407) 432-6785
Fax: (407) 897-7452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X AL12312 Florida

Profile Details

NPI number 1154707610
LBN Legal business name Prieto, Jesus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2015
Last updated Aug 7th, 2015 - about 11 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 1154707610 NPPES
Florida MEDICAID 008511900

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