Payne-Blake, Alice M

Payne-Blake, Alice M is an sole proprietor health care provider with primary practice located at 540 Ne 179Th Dr Miami, North Miami Beach FL 33162-1922. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietetic Technician, Registered, which is considered as her primary health care specialty. Payne-Blake, Alice M can be contacted via phone (305) 650-9024.

Contact Information

Primary practice address
540 Ne 179Th Dr Miami North Miami Beach FL 33162-1922
Phone: (305) 650-9024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietetic Technician, Registered 136A00000X 718051 Florida

Profile Details

NPI number 1295088144
LBN Legal business name Payne-Blake, Alice M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2012
Last updated Oct 16th, 2012 - about 14 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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