Bangora, Jessica Elizabeth

Bangora, Jessica Elizabeth is an sole proprietor health care provider with primary practice located at 1700 S Tamiami Trl , Sarasota FL 34239-3509. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bangora, Jessica Elizabeth can be contacted via phone (941) 487-5400.

Contact Information

Primary practice address
1700 S Tamiami Trl Sarasota FL 34239-3509
Phone: (941) 487-5400
Fax: (941) 487-5430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida

Profile Details

NPI number 1609903343
LBN Legal business name Bangora, Jessica Elizabeth
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Dec 27th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609903343 NPPES
Florida MEDICAID 768288300

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