Bourdeau, Sophia
Bourdeau, Sophia is an sole proprietor health care provider with primary practice located at 159 Sw South Danville Cir , Port St Lucie FL 34953-5929. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Bourdeau, Sophia can be contacted via phone (754) 234-3487.Contact Information
Primary practice address
159 Sw South Danville Cir
Port St Lucie FL 34953-5929
Phone: (754) 234-3487
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | Florida |
Profile Details
| NPI number | 1689104192 |
|---|---|
| LBN Legal business name | Bourdeau, Sophia |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2017 |
| Last updated | Jul 21st, 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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