Queiroz, Thiago

Queiroz, Thiago is an sole proprietor health care provider with primary practice located at 2421 Nw 16Th St , Pompano Beach FL 33069-1546. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Queiroz, Thiago can be contacted via phone (954) 831-7000.

Contact Information

Primary practice address
2421 Nw 16Th St Pompano Beach FL 33069-1546
Phone: (954) 831-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108907 Florida

Profile Details

NPI number 1346618477
LBN Legal business name Queiroz, Thiago
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2015
Last updated Jul 19th, 2019 - about 7 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 1346618477 NPPES
Florida MEDICAID 018798200

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