Fico, Juanita Webb

Fico, Juanita Webb is an individual health care provider with primary practice located at 218 Sw Third Ave , Madison FL 32340-1266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fico, Juanita Webb can be contacted via phone (850) 973-5000.

Contact Information

Primary practice address
218 Sw Third Ave Madison FL 32340-1266
Phone: (850) 973-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 80958-2 Florida

Profile Details

NPI number 1023237302
LBN Legal business name Fico, Juanita Webb
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Dec 12th, 2013 - about 11 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 1023237302 NPPES
Florida MEDICAID 302373700

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