Pierre, Roberta
Pierre, Roberta is an sole proprietor health care provider with primary practice located at 10960 Beach Blvd Lot 32 , Jacksonville FL 32246-4831. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Pierre, Roberta can be contacted via phone (904) 328-6904.Contact Information
Primary practice address
10960 Beach Blvd Lot 32
Jacksonville FL 32246-4831
Phone: (904) 328-6904
Fax: (904) 328-6946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 233862 | Florida |
Profile Details
| NPI number | 1275910218 |
|---|---|
| LBN Legal business name | Pierre, Roberta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2015 |
| Last updated | Apr 29th, 2015 - about 11 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 | 1275910218 | NPPES |
| Florida | MEDICAID | 011682200 |
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