Selwyn, Jaclyn

Selwyn, Jaclyn is an individual health care provider with primary practice located at 5071 Nw 125Th Ave , Coral Springs FL 33076-3448. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Selwyn, Jaclyn can be contacted via phone (954) 899-6655.

Contact Information

Primary practice address
5071 Nw 125Th Ave Coral Springs FL 33076-3448
Phone: (954) 899-6655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT9750 Florida

Profile Details

NPI number 1881779171
LBN Legal business name Selwyn, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 25th, 2010 - about 16 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 1881779171 NPPES
Florida MEDICAID 887644400

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