Dewaters, Victoria Michele

Dewaters, Victoria Michele is an sole proprietor health care provider with primary practice located at 8790 53Rd Way N , Pinellas Park FL 33782-5180. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Ambulatory Health Care Facilities / Developmental Disabilities, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Dewaters, Victoria Michele can be contacted via phone (727) 804-1442.

Contact Information

Primary practice address
8790 53Rd Way N Pinellas Park FL 33782-5180
Phone: (727) 804-1442
Fax: (727) 491-5508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1326613589
LBN Legal business name Dewaters, Victoria Michele
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2021
Last updated Jun 4th, 2021 - about 5 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 1326613589 NPPES
Florida MEDICAID 022082900

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