Altidor, Adelle

Altidor, Adelle is an sole proprietor health care provider with primary practice located at 525 Nw Lake Whitney Pl Suites #102/103, Port St Lucie FL 34986-1605. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Altidor, Adelle can be contacted via phone (772) 337-8164.

Contact Information

Primary practice address
525 Nw Lake Whitney Pl Suites #102/103 Port St Lucie FL 34986-1605
Phone: (772) 337-8164
Fax: (772) 337-8165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida

Profile Details

NPI number 1528437753
LBN Legal business name Altidor, Adelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2015
Last updated Sep 17th, 2015 - about 11 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 1528437753 NPPES
Florida Other A433-000-81-722-1 DRIVERS LICENSE

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