Barksdale, Matilde Teresa

Barksdale, Matilde Teresa is an sole proprietor health care provider with primary practice located at 5818 Nw Beckham Ct , Port Saint Lucie FL 34986-4146. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Barksdale, Matilde Teresa can be contacted via phone (772) 344-1958.

Contact Information

Primary practice address
5818 Nw Beckham Ct Port Saint Lucie FL 34986-4146
Fax: (772) 344-1958
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1003163155
LBN Legal business name Barksdale, Matilde Teresa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2012
Last updated Aug 8th, 2012 - about 12 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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