Frierson, Akinkawon Tahir

Frierson, Akinkawon Tahir is an sole proprietor health care provider with primary practice located at 2744 Us 1 S , St Augustine FL 32086-6366. He recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as his primary health care specialty. Frierson, Akinkawon Tahir can be contacted via phone (888) 890-1054.

Contact Information

Primary practice address
2744 Us 1 S St Augustine FL 32086-6366
Phone: (888) 890-1054
Fax: (904) 600-4583
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Florida

Profile Details

NPI number 1851051833
LBN Legal business name Frierson, Akinkawon Tahir
Credentials LABORATORY DIRECTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2021
Last updated Dec 3rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851051833 NPPES
Florida Other 10D2240563 CLINICAL LABORATORY IMPROVEMENT AMENDMENTS CERTIFICATE OF WAIVER

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