Connor, Jeffrey Todd

Connor, Jeffrey Todd is an individual health care provider with primary practice located at 20354 Us Highway 27 , Clermont FL 34715-8794. He recently has only one registered license in Other Service Providers / Vehicle Modifications, which is considered as his primary health care specialty. Connor, Jeffrey Todd can be contacted via phone (352) 429-3972.

Contact Information

Primary practice address
20354 Us Highway 27 Clermont FL 34715-8794
Phone: (352) 429-3972
Fax: (352) 429-8811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Vehicle Modifications 171WV0202X 8500004462 Florida

Profile Details

NPI number 1114943958
LBN Legal business name Connor, Jeffrey Todd
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 25th, 2009 - about 17 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 1114943958 NPPES
Florida MEDICAID 678966896

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