Elmore, Afsoon
Elmore, Afsoon is an sole proprietor health care provider with primary practice located at 2715 Lakeview Dr , Fern Park FL 32730-2005. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Elmore, Afsoon can be contacted via phone (407) 260-0669.Contact Information
Primary practice address
2715 Lakeview Dr
Fern Park FL 32730-2005
Phone: (407) 260-0669
Fax: (407) 629-0031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 16958 | Florida |
Profile Details
| NPI number | 1013962893 |
|---|---|
| LBN Legal business name | Elmore, Afsoon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1013962893 | NPPES |
| Florida | MEDICAID | 075545100 |
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