Lubis, Deviano

Lubis, Deviano is an sole proprietor health care provider with primary practice located at 2445 Verde View Dr , Apopka FL 32703-9211. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is his primary health care specialty. Lubis, Deviano can be contacted via phone (407) 761-5456.

Contact Information

Primary practice address
2445 Verde View Dr Apopka FL 32703-9211
Phone: (407) 761-5456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9264339 Florida
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1548717291
LBN Legal business name Lubis, Deviano
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2016
Last updated May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548717291 NPPES
Florida MEDICAID 101111000

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