Lelaidier, Gloria J.

Lelaidier, Gloria J. is an individual health care provider with primary practice located at 301 Health Park Blvd Ste 219, Saint Augustine FL 32086-5795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lelaidier, Gloria J. can be contacted via phone (904) 819-9898.

Contact Information

Primary practice address
301 Health Park Blvd Ste 219 Saint Augustine FL 32086-5795
Phone: (904) 819-9898
Fax: (904) 819-9594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP 1634442 Florida

Profile Details

NPI number 1730335100
LBN Legal business name Lelaidier, Gloria J.
Credentials ARNP, CNMW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2008
Last updated Nov 11th, 2015 - about 11 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 1730335100 NPPES
Florida Other Y3038 BCBS
Florida MEDICAID 000392200 BCBS

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