Augustine, Eva
Augustine, Eva is an sole proprietor health care provider with primary practice located at 4964 N Palm Ave , Winter Park FL 32792-9111. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Augustine, Eva can be contacted via phone (321) 228-3765.Contact Information
Primary practice address
4964 N Palm Ave
Winter Park FL 32792-9111
Phone: (321) 228-3765
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Adult Companion | 372600000X | ||
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1558750489 |
---|---|
LBN Legal business name | Augustine, Eva |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 15th, 2015 |
Last updated | Mar 31st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558750489 | NPPES |
Florida | MEDICAID | 0101352900 |
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