Fantin, Deborah J
Fantin, Deborah J is an individual health care provider with primary practice located at 14 S Polk Ave , Arcadia FL 34266-3950. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Fantin, Deborah J can be contacted via phone (863) 993-9911.Contact Information
Primary practice address
14 S Polk Ave
Arcadia FL 34266-3950
Phone: (863) 993-9911
Fax: (863) 993-1022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | DO 4027 | Florida |
Profile Details
| NPI number | 1104099944 |
|---|---|
| LBN Legal business name | Fantin, Deborah J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2008 |
| Last updated | Apr 11th, 2008 - about 17 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 | 1104099944 | NPPES |
| Florida | Other | 650942504 | TAX ID |
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