Green, Latoya L

Green, Latoya L is an sole proprietor health care provider with primary practice located at 2789 Ortiz Avenue , Fort Myers FL 33905-7806. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Green, Latoya L can be contacted via phone (239) 275-3222.

Contact Information

Primary practice address
2789 Ortiz Avenue Fort Myers FL 33905-7806
Phone: (239) 275-3222
Fax: (239) 278-9058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5189718 Florida

Profile Details

NPI number 1568711208
LBN Legal business name Green, Latoya L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2012
Last updated Sep 7th, 2012 - about 14 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 1568711208 NPPES
Florida Other PN5189718 LPN LICENSE

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