Fina, Lera Liv
Fina, Lera Liv is an sole proprietor health care provider with primary practice located at 22455 Flora Parke Xing , Fernandina Beach FL 32034-8000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fina, Lera Liv can be contacted via phone (904) 572-1884.Contact Information
Primary practice address
22455 Flora Parke Xing
Fernandina Beach FL 32034-8000
Phone: (904) 572-1884
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 66488 | Georgia |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS 10686 | Florida |
Profile Details
NPI number | 1902079635 |
---|---|
LBN Legal business name | Fina, Lera Liv |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 2nd, 2008 |
Last updated | Aug 20th, 2021 - about 3 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 | 1902079635 | NPPES |
Georgia | MEDICAID | 202IO12485 |
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