Southard, Jennifer Diane

Southard, Jennifer Diane is an individual health care provider with primary practice located at 105 S Riverside Dr Suite 131, Indialantic FL 32903-4365. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Southard, Jennifer Diane can be contacted via phone (321) 409-0044.

Contact Information

Primary practice address
105 S Riverside Dr Suite 131 Indialantic FL 32903-4365
Phone: (321) 409-0044
Fax: (321) 409-0099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 099.0074287 Vermont

Profile Details

NPI number 1356646343
LBN Legal business name Southard, Jennifer Diane
Credentials N.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2011
Last updated Jan 21st, 2011 - about 14 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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