Sevilla, Xavier Diego

Sevilla, Xavier Diego is an individual health care provider with primary practice located at 712 39Th St W , Bradenton FL 34205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sevilla, Xavier Diego can be contacted via phone (941) 748-4602.

Contact Information

Primary practice address
712 39Th St W Bradenton FL 34205
Phone: (941) 748-4602
Fax: (941) 747-9230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0076653 Florida

Profile Details

NPI number 1760459986
LBN Legal business name Sevilla, Xavier Diego
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Dec 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760459986 NPPES
Florida Other 28272 WELLCARE
Florida Other 47209 WELLCARE
Florida Other 301386 WELLCARE
Florida Other 229615 WELLCARE
Florida Other 191852 WELLCARE
Florida Other 1200274 WELLCARE

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