Eduardo Cornejo
General Practice Physician
4026 Oak Forest Dr
Panama City
, Florida 32404-5783
Eduardo Cornejo
General Practice Physician
4026 Oak Forest Dr
Panama City
, Florida 32404-5783
(954) 716-0593
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Eduardo Cornejo
- 4026 Oak Forest Dr
- Panama City, FL
- Zip : 32404-5783
- Phone : (954) 716-0593
Second Address
- Eduardo Cornejo
- 4026 Oak Forest Dr
- Panama City, FL
- Zip : 32404-5783
- Phone : (954) 716-0593
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | MD37769 | OK |
National Provider Identifier
| NPI | 1013506609 |
|---|---|
| Provider Name | Eduardo Cornejo |
| First Address | Panama City, FL 32404-5783 |
| Second Address | Panama City, FL 32404-5783 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2021 |
| Last Update Date | 18/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.