Morneault, Alicia R.

Morneault, Alicia R. is an individual health care provider with primary practice located at 417A Racetrack Rd Nw Suite 2, Fort Walton Beach FL 32547-4600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Morneault, Alicia R. can be contacted via phone (850) 863-5990.

Contact Information

Primary practice address
417A Racetrack Rd Nw Suite 2 Fort Walton Beach FL 32547-4600
Phone: (850) 863-5990
Fax: (850) 862-0041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102692 Florida

Profile Details

NPI number 1962471987
LBN Legal business name Morneault, Alicia R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 4th, 2016 - about 10 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 1962471987 NPPES
Florida MEDICAID 291883800

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