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
Phone: (954) 596-5284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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