Crestodina, Lea Rose
Crestodina, Lea Rose is an sole proprietor health care provider with primary practice located at 3501 Johnson St Diabetes Center, Hollywood FL 33021-5421. She recently has only one registered license in Nursing Service Providers / Wound Care, which is considered as her primary health care specialty. Crestodina, Lea Rose can be contacted via phone (954) 265-5856.Contact Information
Primary practice address
3501 Johnson St Diabetes Center
Hollywood FL 33021-5421
Phone: (954) 265-5856
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Wound Care | 163WW0000X | 1803582 | Florida |
Profile Details
| NPI number | 1427394022 |
|---|---|
| LBN Legal business name | Crestodina, Lea Rose |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2012 |
| Last updated | Dec 31st, 2012 - about 12 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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