Lataille, Brent Joseph

Lataille, Brent Joseph is an individual health care provider with primary practice located at 3500 Oak Manor Ln , Largo FL 33774-1211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lataille, Brent Joseph can be contacted via phone (727) 488-5915.

Contact Information

Primary practice address
3500 Oak Manor Ln Largo FL 33774-1211
Phone: (727) 488-5915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9261217 Florida

Profile Details

NPI number 1598202814
LBN Legal business name Lataille, Brent Joseph
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Apr 19th, 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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