Pathiyil, Jennifer Ann

Pathiyil, Jennifer Ann is an individual health care provider with primary practice located at 11645 Biscayne Blvd Ste 103 , North Miami FL 33181-3138. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pathiyil, Jennifer Ann can be contacted via phone (305) 538-8835.

Contact Information

Primary practice address
11645 Biscayne Blvd Ste 103 North Miami FL 33181-3138
Phone: (305) 538-8835
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC5424 Florida

Profile Details

NPI number 1124545827
LBN Legal business name Pathiyil, Jennifer Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2017
Last updated Sep 19th, 2023 - about 3 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 1124545827 NPPES
Florida MEDICAID 101304000

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