Blakeslee, Joy

Blakeslee, Joy is an sole proprietor health care provider with primary practice located at 3100 Columbrina Cir , Port Saint Lucie FL 34952-3334. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Blakeslee, Joy can be contacted via phone (772) 212-5695.

Contact Information

Primary practice address
3100 Columbrina Cir Port Saint Lucie FL 34952-3334
Phone: (772) 212-5695
Fax: (772) 361-6350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1003322132
LBN Legal business name Blakeslee, Joy
Credentials MA, WSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2017
Last updated Dec 27th, 2017 - about 9 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 1003322132 NPPES
Florida MEDICAID 021924900

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