Bertheau Avila, Henriette Barbara
Bertheau Avila, Henriette Barbara is an sole proprietor health care provider with primary practice located at 1120 Carlton Ave , Lake Wales FL 33853-4348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bertheau Avila, Henriette Barbara can be contacted via phone (305) 323-3177.Contact Information
Primary practice address
1120 Carlton Ave
Lake Wales FL 33853-4348
Phone: (305) 323-3177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11029632 | Florida |
Profile Details
| NPI number | 1740055201 |
|---|---|
| LBN Legal business name | Bertheau Avila, Henriette Barbara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2023 |
| Last updated | Nov 21st, 2023 - 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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