Duffus, Polly
Duffus, Polly is an sole proprietor health care provider with primary practice located at 4420 Nw 23Rd St , Lauderhill FL 33313-3521. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Duffus, Polly can be contacted via phone (754) 214-3169.Contact Information
Primary practice address
4420 Nw 23Rd St
Lauderhill FL 33313-3521
Phone: (754) 214-3169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 10-2752GH | Florida |
Profile Details
| NPI number | 1568116010 |
|---|---|
| LBN Legal business name | Duffus, Polly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2022 |
| Last updated | Feb 3rd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568116010 | NPPES |
| Florida | MEDICAID | 22444710 |
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