Rengifo-Moreno, Pablo A
Rengifo-Moreno, Pablo A is an sole proprietor health care provider with primary practice located at 1300 Medical Dr , Tallahassee FL 32308-4646. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Rengifo-Moreno, Pablo A can be contacted via phone (850) 216-0100.Contact Information
Primary practice address
1300 Medical Dr
Tallahassee FL 32308-4646
Phone: (850) 216-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | AS 4148501 E-64 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 076669 | Georgia |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME138838 | Florida |
Profile Details
| NPI number | 1356500854 |
|---|---|
| LBN Legal business name | Rengifo-Moreno, Pablo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Mar 20th, 2023 - about 3 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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