Crooks, Octavia G.

Crooks, Octavia G. is an individual health care provider with primary practice located at 4024 Central Ave , St Petersburg FL 33711-1239. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Crooks, Octavia G. can be contacted via phone (727) 327-7656.

Contact Information

Primary practice address
4024 Central Ave St Petersburg FL 33711-1239
Phone: (727) 327-7656
Fax: (727) 322-2110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5236171 Florida

Profile Details

NPI number 1407400922
LBN Legal business name Crooks, Octavia G.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2019
Last updated Aug 1st, 2019 - about 6 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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