Long, Carissa

Long, Carissa is an sole proprietor health care provider with primary practice located at 1638 Hawksbill St Nw , Palm Bay FL 32907-7127. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Long, Carissa can be contacted via phone (321) 220-4512.

Contact Information

Primary practice address
1638 Hawksbill St Nw Palm Bay FL 32907-7127
Phone: (321) 220-4512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Florida

Profile Details

NPI number 1053939751
LBN Legal business name Long, Carissa
Credentials HOME HEALTH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2020
Last updated Jan 14th, 2021 - about 5 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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