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
Phone: (239) 415-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538616917 | NPPES |
| Florida | MEDICAID | 014740400 |
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