Glynn, Eunice Martina

Glynn, Eunice Martina is an sole proprietor health care provider with primary practice located at 490 Split Oak Rd , St Augustine FL 32092-5447. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Glynn, Eunice Martina can be contacted via phone (954) 445-5496.

Contact Information

Primary practice address
490 Split Oak Rd St Augustine FL 32092-5447
Phone: (954) 445-5496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT9637 Florida

Profile Details

NPI number 1306958194
LBN Legal business name Glynn, Eunice Martina
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Mar 11th, 2019 - about 5 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 1306958194 NPPES
Florida MEDICAID 886274500
Florida Other OT9637

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