Charles, Lona

Charles, Lona is an sole proprietor health care provider with primary practice located at 2632 Sw Port St Lucie Blvd , Port Saint Lucie FL 34953-2845. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Charles, Lona can be contacted via phone (772) 873-8811.

Contact Information

Primary practice address
2632 Sw Port St Lucie Blvd Port Saint Lucie FL 34953-2845
Phone: (772) 873-8811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X Florida

Profile Details

NPI number 1942645064
LBN Legal business name Charles, Lona
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2013
Last updated Sep 17th, 2019 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942645064 NPPES
Florida MEDICAID 1942645054
Florida MEDICAID PENDING

Popular Providers