Harvey, Bertilda Isabel

Harvey, Bertilda Isabel is an sole proprietor health care provider with primary practice located at 913 Lee St , Leesburg FL 34748-4310. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Harvey, Bertilda Isabel can be contacted via phone (352) 874-5646.

Contact Information

Primary practice address
913 Lee St Leesburg FL 34748-4310
Phone: (352) 874-5646
Fax: (352) 326-8177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Florida

Profile Details

NPI number 1689979718
LBN Legal business name Harvey, Bertilda Isabel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2011
Last updated Jan 20th, 2011 - about 15 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 1689979718 NPPES
Other 676209368 MEDICAID WAIVER - CONSUMER DIRECTED CARE PLUS
Other 676209396 MEDICAID WAIVER - CONSUMER DIRECTED CARE PLUS
Other 676209398 MEDICAID WAIVER - CONSUMER DIRECTED CARE PLUS

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