Mathurin, Dominique

Mathurin, Dominique is an individual health care provider with primary practice located at 2167 Lake Debra Dr Unit 738, Orlando FL 32835-6616. She recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mathurin, Dominique can be contacted via phone (407) 403-8145.

Contact Information

Primary practice address
2167 Lake Debra Dr Unit 738 Orlando FL 32835-6616
Phone: (407) 403-8145
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1033397807
LBN Legal business name Mathurin, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated Aug 10th, 2016 - about 9 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 1033397807 NPPES
Florida MEDICAID 010838900

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