National Provider Identifier Database

MARIA T POL CARBALLO MD PA
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

MARIA T. POL-CARBALLO, MD PA
6450 W 21ST CT
SUITE #301
HIALEAH, FL33016-3946
Phone: 305-820-6999
Fax: 305-820-9279
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for MARIA T. POL-CARBALLO, MD PA

NPI Number 1528459856
Legal business name
LBN
MARIA T. POL-CARBALLO, MD PA
Authorized official MARIA POL-CARBALLO - (OWNER/DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 02/09/2015
Last updated 02/09/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME0060604
  • FL Medicaid: 372237600
  • Other: ME0060604 FLORIDA LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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