Chacon, Iris Julieta

Chacon, Iris Julieta is an sole proprietor health care provider with primary practice located at 17080 Safety St , Fort Myers FL 33908-7506. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as her primary health care specialty. Chacon, Iris Julieta can be contacted via phone (239) 223-9094.

Contact Information

Primary practice address
17080 Safety St Fort Myers FL 33908-7506
Phone: (239) 223-9094
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X LP035 Nevada

Profile Details

NPI number 1497351951
LBN Legal business name Chacon, Iris Julieta
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2020
Last updated Dec 9th, 2020 - about 5 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 1497351951 NPPES
Florida Other C250410648010 DRIVER LICENSE

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