Goncalves, Marlene G

Goncalves, Marlene G is an sole proprietor health care provider with primary practice located at 8350 Nw 10Th St Apt 2E , Miami FL 33126-2721. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Goncalves, Marlene G can be contacted via phone (786) 325-5465.

Contact Information

Primary practice address
8350 Nw 10Th St Apt 2E Miami FL 33126-2721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X Florida

Profile Details

NPI number 1487211553
LBN Legal business name Goncalves, Marlene G
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2019
Last updated May 23rd, 2019 - about 7 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 1487211553 NPPES
Florida MEDICAID RBT-19-76811

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