Gervais, Juliette Selma
Gervais, Juliette Selma is an sole proprietor health care provider with primary practice located at 500 Winderley Pl Ste 115 , Maitland FL 32751-7406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Gervais, Juliette Selma can be contacted via phone (407) 875-0555.Contact Information
Primary practice address
500 Winderley Pl Ste 115
Maitland FL 32751-7406
Phone: (407) 875-0555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0116016721 | Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 255415 | New York |
Profile Details
| NPI number | 1962618066 |
|---|---|
| LBN Legal business name | Gervais, Juliette Selma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | May 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962618066 | NPPES |
| Virginia | MEDICAID | 1962618066 | |
| Virginia | MEDICAID | 03163462 |
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