Simon, Latrall
Simon, Latrall is an sole proprietor health care provider with primary practice located at 12458 Condor Dr , Jacksonville FL 32223-3711. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Simon, Latrall can be contacted via phone (904) 508-2687.Contact Information
Primary practice address
12458 Condor Dr
Jacksonville FL 32223-3711
Phone: (904) 508-2687
Fax: (904) 379-5457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1679017206 |
|---|---|
| LBN Legal business name | Simon, Latrall |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2016 |
| Last updated | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679017206 | NPPES |
| Florida | MEDICAID | 001477397 |
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