Zink-Pituskin, Jaclyn

Zink-Pituskin, Jaclyn is an sole proprietor health care provider with primary practice located at 210 S Beach St Ste 200 , Daytona Beach FL 32114-4433. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Zink-Pituskin, Jaclyn can be contacted via phone (386) 898-6040.

Contact Information

Primary practice address
210 S Beach St Ste 200 Daytona Beach FL 32114-4433
Phone: (386) 898-6040
Fax: (386) 256-2320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1104620616
LBN Legal business name Zink-Pituskin, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2025
Last updated May 1st, 2025 - about last year

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 1104620616 NPPES
Florida Other HHT-020 INFANT TODDLER DEVELOPMENTAL SPECIALIST

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