Wallock, Azel

Wallock, Azel is an sole proprietor health care provider with primary practice located at 17913 Sw 5Th St , Pembroke Pines FL 33029-4119. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Wallock, Azel can be contacted via phone (954) 854-4765.

Contact Information

Primary practice address
17913 Sw 5Th St Pembroke Pines FL 33029-4119
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 9202190 Florida

Profile Details

NPI number 1194264242
LBN Legal business name Wallock, Azel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2017
Last updated Feb 21st, 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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