Eaves, Jimmy Lee

Eaves, Jimmy Lee is an sole proprietor health care provider with primary practice located at 12771 Palmer Cir , Tampa FL 33612-2500. He recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as his primary health care specialty. Eaves, Jimmy Lee can be contacted via phone (813) 297-5345.

Contact Information

Primary practice address
12771 Palmer Cir Tampa FL 33612-2500
Phone: (813) 297-5345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 0489 Florida

Profile Details

NPI number 1417233743
LBN Legal business name Eaves, Jimmy Lee
Credentials PERSONAL CARE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2011
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417233743 NPPES
Florida MEDICAID 002169700

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