Tello, Edna Lillian
Tello, Edna Lillian is an sole proprietor health care provider with primary practice located at 12621 Nw 8Th Ct , Coral Springs FL 33071-4425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tello, Edna Lillian can be contacted via phone (954) 632-2791.Contact Information
Primary practice address
12621 Nw 8Th Ct
Coral Springs FL 33071-4425
Phone: (954) 632-2791
Fax: (954) 796-6584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME80694 | Florida |
Profile Details
| NPI number | 1528078508 |
|---|---|
| LBN Legal business name | Tello, Edna Lillian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528078508 | NPPES |
| Florida | MEDICAID | 2606259 |
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