Heretsun-Roussonicolos, Liliya

Heretsun-Roussonicolos, Liliya is an sole proprietor health care provider with primary practice located at 1488 Se Village Green Dr , Port St Lucie FL 34952-3411. She recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as her primary health care specialty. Heretsun-Roussonicolos, Liliya can be contacted via phone (722) 301-1497.

Contact Information

Primary practice address
1488 Se Village Green Dr Port St Lucie FL 34952-3411
Phone: (722) 301-1497
Fax: (321) 676-8508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Florida

Profile Details

NPI number 1407464506
LBN Legal business name Heretsun-Roussonicolos, Liliya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2020
Last updated Oct 9th, 2020 - about 6 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.

Request for update

Popular Providers