Havlat, Rattanavalee Jansod
Havlat, Rattanavalee Jansod is an sole proprietor health care provider with primary practice located at 1118 Hospital Rd , Fort Walton Beach FL 32547-6742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Havlat, Rattanavalee Jansod can be contacted via phone (850) 862-3415.Contact Information
Primary practice address
1118 Hospital Rd
Fort Walton Beach FL 32547-6742
Phone: (850) 862-3415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN11018735 | Florida |
Profile Details
| NPI number | 1124761093 |
|---|---|
| LBN Legal business name | Havlat, Rattanavalee Jansod |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2022 |
| Last updated | Mar 5th, 2025 - about last year |
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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