Goodman, Revital
Goodman, Revital is an sole proprietor health care provider with primary practice located at 9858 Glades Rd # D3-218 , Boca Raton FL 33434-3983. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Goodman, Revital can be contacted via phone (323) 770-4777.Contact Information
Primary practice address
9858 Glades Rd # D3-218
Boca Raton FL 33434-3983
Phone: (323) 770-4777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | SW 11854 | Florida |
Profile Details
| NPI number | 1629470620 |
|---|---|
| LBN Legal business name | Goodman, Revital |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2014 |
| Last updated | Sep 22nd, 2014 - about 10 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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