Gardner, Evita

Gardner, Evita is an individual health care provider with primary practice located at 587 Se Ermine Ave , Lake City FL 32025-6126. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Gardner, Evita can be contacted via phone (386) 752-7800.

Contact Information

Primary practice address
587 Se Ermine Ave Lake City FL 32025-6126
Phone: (386) 752-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 15960 Florida

Profile Details

NPI number 1871002352
LBN Legal business name Gardner, Evita
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2017
Last updated Sep 27th, 2017 - about 9 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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