Mckinniss, Justin Hobar Dudley

Mckinniss, Justin Hobar Dudley is an sole proprietor health care provider with primary practice located at 400 Civic Center Way , Royal Palm Beach FL 33411-5000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mckinniss, Justin Hobar Dudley can be contacted via phone (954) 596-5284.

Contact Information

Primary practice address
400 Civic Center Way Royal Palm Beach FL 33411-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW8121 Florida

Profile Details

NPI number 1851860225
LBN Legal business name Mckinniss, Justin Hobar Dudley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2018
Last updated Nov 15th, 2018 - about 8 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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