Pellot, Gladys
Pellot, Gladys is an sole proprietor health care provider with primary practice located at 31 N Krome Ave , Homestead FL 33030-6014. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pellot, Gladys can be contacted via phone (786) 481-5909.Contact Information
Primary practice address
31 N Krome Ave
Homestead FL 33030-6014
Phone: (786) 481-5909
Fax: (786) 481-5908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH15707 | Florida |
Profile Details
| NPI number | 1033582572 |
|---|---|
| LBN Legal business name | Pellot, Gladys |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2015 |
| Last updated | Sep 1st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033582572 | NPPES |
| Florida | MEDICAID | 024102700 |
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