Etienne, Annemarie

Etienne, Annemarie is an individual health care provider with primary practice located at 350 N Clyde Morris Blvd , Daytona Beach FL 32114-2733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Etienne, Annemarie can be contacted via phone (386) 676-7103.

Contact Information

Primary practice address
350 N Clyde Morris Blvd Daytona Beach FL 32114-2733
Phone: (386) 676-7103
Fax: (386) 676-7186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME86041 Florida

Profile Details

NPI number 1013980655
LBN Legal business name Etienne, Annemarie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Feb 22nd, 2016 - about 8 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 1013980655 NPPES
Florida Other 1013980655 TRICARE
Florida Other 9032053 TRICARE
Florida Other 7237323 TRICARE
Florida MEDICAID 272646700 TRICARE
Florida Other 1013980655 TRICARE
Florida Other P00230246 TRICARE
Florida Other 1013980655 TRICARE
Florida Other 13215 TRICARE

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