Vines, Jarvin Duran

Vines, Jarvin Duran is an sole proprietor health care provider with primary practice located at 239 Rambling Cir , Apopka FL 32712-3476. He recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is his primary health care specialty. Vines, Jarvin Duran can be contacted via phone (407) 495-8933.

Contact Information

Primary practice address
239 Rambling Cir Apopka FL 32712-3476
Phone: (407) 495-8933
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Florida
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Florida

Profile Details

NPI number 1164950929
LBN Legal business name Vines, Jarvin Duran
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2017
Last updated May 24th, 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 1164950929 NPPES
Florida MEDICAID 670200

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