Azelvandre, Jacqueline
Azelvandre, Jacqueline is an sole proprietor health care provider with primary practice located at 301 S Milwee St , Longwood FL 32750-4127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Azelvandre, Jacqueline can be contacted via phone (407) 339-1060.Contact Information
Primary practice address
301 S Milwee St
Longwood FL 32750-4127
Phone: (407) 339-1060
Fax: (407) 339-1081
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS4390 | Florida |
Profile Details
NPI number | 1639160831 |
---|---|
LBN Legal business name | Azelvandre, Jacqueline |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 4th, 2005 |
Last updated | Feb 6th, 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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