Formentini, Dina Ann

Formentini, Dina Ann is an sole proprietor health care provider with primary practice located at 10000 Bay Pines Blvd , Bay Pines FL 33744-8200. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Formentini, Dina Ann can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10000 Bay Pines Blvd Bay Pines FL 33744-8200
Phone: (727) 398-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW12387 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X 4240785 Florida

Profile Details

NPI number 1932458767
LBN Legal business name Formentini, Dina Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2012
Last updated May 27th, 2019 - about 6 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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