Raphael, Judenie

Raphael, Judenie is an individual health care provider with primary practice located at 1128 N Laura St , Jacksonville FL 32206-4912. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Nursing Service Related Providers / Homemaker, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Raphael, Judenie can be contacted via phone (904) 344-3403.

Contact Information

Primary practice address
1128 N Laura St Jacksonville FL 32206-4912
Phone: (904) 344-3403
Fax: (904) 355-4149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9502265 Florida
Nursing Service Providers / Home Health 163WH0200X 9502265 Florida
Nursing Service Related Providers / Homemaker 376J00000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1834 Florida

Profile Details

NPI number 1871914275
LBN Legal business name Raphael, Judenie
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2014
Last updated Nov 27th, 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 1871914275 NPPES
Florida MEDICAID 010514600
Florida MEDICAID 003154616A

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