Ezeilo, Tyona

Ezeilo, Tyona is an individual health care provider with primary practice located at 5325 Greenwood Ave Suite 201, West Palm Beach FL 33407-2452. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Ezeilo, Tyona can be contacted via phone (561) 422-9603.

Contact Information

Primary practice address
5325 Greenwood Ave Suite 201 West Palm Beach FL 33407-2452
Phone: (561) 422-9603
Fax: (561) 881-0972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1154453082
LBN Legal business name Ezeilo, Tyona
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated May 22nd, 2008 - about 16 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 1154453082 NPPES
Florida MEDICAID 765531200

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