Tordecillas, Roseviminda
Tordecillas, Roseviminda is an sole proprietor health care provider with primary practice located at 21234 Olean Blvd Ste 5 , Port Charlotte FL 33952-6721. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tordecillas, Roseviminda can be contacted via phone (941) 625-0555.Contact Information
Primary practice address
21234 Olean Blvd Ste 5
Port Charlotte FL 33952-6721
Phone: (941) 625-0555
Fax: (941) 625-1970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT19728 | Florida |
Profile Details
| NPI number | 1801881735 |
|---|---|
| LBN Legal business name | Tordecillas, Roseviminda |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Apr 18th, 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 | 1801881735 | NPPES |
| Florida | Other | Y076E | BCBS |
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