Altidor, Josette Telisier

Altidor, Josette Telisier is an individual health care provider with primary practice located at 541 Brentford Ct , Kissimmee FL 34758. She recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as her primary health care specialty. Altidor, Josette Telisier can be contacted via phone (734) 788-9020.

Contact Information

Primary practice address
541 Brentford Ct Kissimmee FL 34758
Phone: (734) 788-9020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X AL12988 Florida

Profile Details

NPI number 1861919631
LBN Legal business name Altidor, Josette Telisier
Credentials ADMINISTRATOR /OWNER
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2017
Last updated Jul 21st, 2022 - about 4 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 1861919631 NPPES
Florida MEDICAID 020676200

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