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
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184377301 NPPES
Florida MEDICAID 000979200

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