Bougouneau, Ishmael
Bougouneau, Ishmael is an sole proprietor health care provider with primary practice located at 2059 Veranda Cir Bldg J , Orlando FL 32808-4861. She recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Home Health is her primary health care specialty. Bougouneau, Ishmael can be contacted via phone (321) 914-7628.Contact Information
Primary practice address
2059 Veranda Cir Bldg J
Orlando FL 32808-4861
Phone: (321) 914-7628
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Home Health | 251E00000X | Florida | |
| Agencies / In Home Supportive Care | 253Z00000X | Florida | |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | Florida | |
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X |
Profile Details
| NPI number | 1467998930 |
|---|---|
| LBN Legal business name | Bougouneau, Ishmael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2017 |
| Last updated | Jan 9th, 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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