Correa-Lasanta, Jesmarie
Correa-Lasanta, Jesmarie is an sole proprietor health care provider with primary practice located at 1350 Hickory St Ste 101 , Melbourne FL 32901-3224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Correa-Lasanta, Jesmarie can be contacted via phone (321) 361-5670.Contact Information
Primary practice address
1350 Hickory St Ste 101
Melbourne FL 32901-3224
Phone: (321) 361-5670
Fax: (321) 676-6434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME131933 | Florida |
Profile Details
| NPI number | 1285043901 |
|---|---|
| LBN Legal business name | Correa-Lasanta, Jesmarie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2014 |
| Last updated | Jan 29th, 2024 - about 10 months 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 | 1285043901 | NPPES |
| Florida | Other | NS400 | MEDICARE HF |
| Florida | MEDICAID | 104224100 | MEDICARE HF |
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