Torres, Ma Joanna Bergonia

Torres, Ma Joanna Bergonia is an sole proprietor health care provider with primary practice located at 1616 Oak Ave , Lake Placid FL 33852-5787. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Torres, Ma Joanna Bergonia can be contacted via phone (863) 243-8268.

Contact Information

Primary practice address
1616 Oak Ave Lake Placid FL 33852-5787
Fax:
Website:

Profile Details

NPI number 1891240917
LBN Legal business name Torres, Ma Joanna Bergonia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2016
Last updated Jan 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891240917 NPPES
Florida Other 059-834-837 USCIS

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