Santa Eulalia, Johann L

Santa Eulalia, Johann L is an individual health care provider with primary practice located at 421 Se Osceola St Suite 3, Stuart FL 34994-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Santa Eulalia, Johann L can be contacted via phone (772) 286-0338.

Contact Information

Primary practice address
421 Se Osceola St Suite 3 Stuart FL 34994-2505
Phone: (772) 286-0338
Fax: (772) 287-1139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD432980 Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME100397 Florida

Profile Details

NPI number 1295918464
LBN Legal business name Santa Eulalia, Johann L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Oct 10th, 2008 - about 18 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 1295918464 NPPES
Florida Other 52185 BCBS FL

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