Beauzile, Therese Jocelyne

Beauzile, Therese Jocelyne is an individual health care provider with primary practice located at 10300 Sw 216Th St , Miami FL 33190-1003. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Beauzile, Therese Jocelyne can be contacted via phone (305) 253-5100.

Contact Information

Primary practice address
10300 Sw 216Th St Miami FL 33190-1003
Phone: (305) 253-5100
Fax: (305) 254-4987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH9005 Florida

Profile Details

NPI number 1003980640
LBN Legal business name Beauzile, Therese Jocelyne
Credentials DH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1003980640 NPPES
Florida MEDICAID 77830300

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