Enault, Alice M

Enault, Alice M is an individual health care provider with primary practice located at 250 Avenue K. Sw Suite 200, Winter Haven FL 33880-3919. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Enault, Alice M can be contacted via phone (863) 297-5400.

Contact Information

Primary practice address
250 Avenue K. Sw Suite 200 Winter Haven FL 33880-3919
Phone: (863) 297-5400
Fax: (863) 293-8230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT8245 Florida

Profile Details

NPI number 1275520249
LBN Legal business name Enault, Alice M
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Sep 27th, 2010 - about 16 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 1275520249 NPPES
Florida Other Z043T BLUE CROSS/BLUE SHIELD

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