Reynolds, Donetta Gwin

Reynolds, Donetta Gwin is an sole proprietor health care provider with primary practice located at 764 Triples Crown Lane , West Melbourne FL 32904. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Reynolds, Donetta Gwin can be contacted via phone (985) 720-7439.

Contact Information

Primary practice address
764 Triples Crown Lane West Melbourne FL 32904
Phone: (985) 720-7439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1598276271
LBN Legal business name Reynolds, Donetta Gwin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2017
Last updated Oct 20th, 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.

Request for update

Popular Providers