Achmad, Roslyn Jill

Achmad, Roslyn Jill is an sole proprietor health care provider with primary practice located at 3787 Nw 62Nd St , Coconut Creek FL 33073-2145. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Achmad, Roslyn Jill can be contacted via phone (954) 937-8089.

Contact Information

Primary practice address
3787 Nw 62Nd St Coconut Creek FL 33073-2145
Phone: (954) 937-8089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X APRN11017452 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11017452 Florida

Profile Details

NPI number 1356077317
LBN Legal business name Achmad, Roslyn Jill
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2022
Last updated Mar 1st, 2024 - 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 1356077317 NPPES
Florida MEDICAID 116024400

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