Avila, Jessielynn

Avila, Jessielynn is an sole proprietor health care provider with primary practice located at 1550 W 84Th St #58, Hialeah FL 33014-3377. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Avila, Jessielynn can be contacted via phone (305) 985-6122.

Contact Information

Primary practice address
1550 W 84Th St #58 Hialeah FL 33014-3377
Phone: (305) 985-6122
Fax: (786) 545-7657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT26138 Florida

Profile Details

NPI number 1679877849
LBN Legal business name Avila, Jessielynn
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2011
Last updated Mar 21st, 2016 - about 10 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 1679877849 NPPES
Florida MEDICAID 003271100

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