Renzulli, Michele

Renzulli, Michele is an individual health care provider with primary practice located at 6714 Winkler Rd , Fort Myers FL 33919-7204. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Renzulli, Michele can be contacted via phone (239) 245-8301.

Contact Information

Primary practice address
6714 Winkler Rd Fort Myers FL 33919-7204
Fax: (239) 245-8731
Website:

Health care specialties

Profile Details

NPI number 1437680170
LBN Legal business name Renzulli, Michele
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2017
Last updated Mar 24th, 2017 - about 9 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 1437680170 NPPES
Florida MEDICAID 019701000

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