Davalos, Alessandra Daisy
Davalos, Alessandra Daisy is an sole proprietor health care provider with primary practice located at 2900 Glades Cir Ste 275 , Weston FL 33327-2268. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Davalos, Alessandra Daisy can be contacted via phone (954) 478-3353.Contact Information
Primary practice address
2900 Glades Cir Ste 275
Weston FL 33327-2268
Phone: (954) 478-3353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1184377301 |
|---|---|
| LBN Legal business name | Davalos, Alessandra Daisy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2022 |
| Last updated | Jan 28th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184377301 | NPPES |
| Florida | MEDICAID | 000979200 |
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