Eliacin, Laquavian

Eliacin, Laquavian is an sole proprietor health care provider with primary practice located at 1738 Se Port St Lucie Blvd , Port St Lucie FL 34952-5467. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Eliacin, Laquavian can be contacted via phone (772) 200-0870.

Contact Information

Primary practice address
1738 Se Port St Lucie Blvd Port St Lucie FL 34952-5467
Phone: (772) 200-0870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1467068635
LBN Legal business name Eliacin, Laquavian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2020
Last updated Sep 22nd, 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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