Fundora, Anell Beatriz

Fundora, Anell Beatriz is an individual health care provider with primary practice located at 8828 Nw 112Th Ter , Hialeah Gardens FL 33018-4534. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Pediatric Pathology is her primary health care specialty. Fundora, Anell Beatriz can be contacted via phone (305) 680-9629.

Contact Information

Primary practice address
8828 Nw 112Th Ter Hialeah Gardens FL 33018-4534
Phone: (305) 680-9629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X SZ10463 Florida

Profile Details

NPI number 1861031072
LBN Legal business name Fundora, Anell Beatriz
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2020
Last updated Dec 7th, 2021 - about 4 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 1861031072 NPPES
Florida MEDICAID 104678700

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