Dubose, Dewayne N

Dubose, Dewayne N is an sole proprietor health care provider with primary practice located at 344 Chesham St , Ormond Beach FL 32174-0692. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Dubose, Dewayne N can be contacted via phone (813) 362-7729.

Contact Information

Primary practice address
344 Chesham St Ormond Beach FL 32174-0692
Phone: (813) 362-7729
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1971 Florida

Profile Details

NPI number 1639786940
LBN Legal business name Dubose, Dewayne N
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2020
Last updated Sep 30th, 2020 - 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.

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