Avila, Jessielynn
Avila, Jessielynn is an sole proprietor health care provider with primary practice located at 1550 W 84Th St #58, Hialeah FL 33014-3377. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Avila, Jessielynn can be contacted via phone (305) 985-6122.Contact Information
Primary practice address
1550 W 84Th St #58
Hialeah FL 33014-3377
Phone: (305) 985-6122
Fax: (786) 545-7657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT26138 | Florida |
Profile Details
| NPI number | 1679877849 |
|---|---|
| LBN Legal business name | Avila, Jessielynn |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2011 |
| Last updated | Mar 21st, 2016 - about 8 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 | 1679877849 | NPPES |
| Florida | MEDICAID | 003271100 |
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