Dewaters, Victoria Michele
Dewaters, Victoria Michele is an sole proprietor health care provider with primary practice located at 8790 53Rd Way N , Pinellas Park FL 33782-5180. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Ambulatory Health Care Facilities / Developmental Disabilities, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Dewaters, Victoria Michele can be contacted via phone (727) 804-1442.Contact Information
Primary practice address
8790 53Rd Way N
Pinellas Park FL 33782-5180
Phone: (727) 804-1442
Fax: (727) 491-5508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | ||
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X |
Profile Details
| NPI number | 1326613589 |
|---|---|
| LBN Legal business name | Dewaters, Victoria Michele |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2021 |
| Last updated | Jun 4th, 2021 - about 4 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 | 1326613589 | NPPES |
| Florida | MEDICAID | 022082900 |
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