Peterson, Larnetta Renne

Peterson, Larnetta Renne is an sole proprietor health care provider with primary practice located at 4050 Central Ave , Saint Petersburg FL 33711-1239. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Peterson, Larnetta Renne can be contacted via phone (727) 327-7656.

Contact Information

Primary practice address
4050 Central Ave Saint Petersburg FL 33711-1239
Phone: (727) 327-7656
Fax: (727) 322-2130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1548535867
LBN Legal business name Peterson, Larnetta Renne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2012
Last updated Dec 22nd, 2022 - about 4 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 1548535867 NPPES
Florida MEDICAID 060381300

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