Bolivar, Daphne

Bolivar, Daphne is an sole proprietor health care provider with primary practice located at 12649 New Brittany Blvd , Fort Myers FL 33907-3631. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Bolivar, Daphne can be contacted via phone (239) 415-7400.

Contact Information

Primary practice address
12649 New Brittany Blvd Fort Myers FL 33907-3631
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1538616917
LBN Legal business name Bolivar, Daphne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2016
Last updated Sep 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538616917 NPPES
Florida MEDICAID 014740400

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