Fantoni-Salvador, Patricia M
Fantoni-Salvador, Patricia M is an sole proprietor health care provider with primary practice located at 7601 Nw 13Th Ct , Plantation FL 33322-4705. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fantoni-Salvador, Patricia M can be contacted via phone (206) 257-1061.Contact Information
Primary practice address
7601 Nw 13Th Ct
Plantation FL 33322-4705
Phone: (206) 257-1061
Fax: (206) 257-1061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY5902 | Florida |
Profile Details
| NPI number | 1063496115 |
|---|---|
| LBN Legal business name | Fantoni-Salvador, Patricia M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jan 13th, 2012 - about 12 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 | 1063496115 | NPPES |
| Florida | MEDICAID | 762864100 |
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