Habib, Laila Nicole

Habib, Laila Nicole is an individual health care provider with primary practice located at 175 W Pine Ave , Longwood FL 32750-4168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Habib, Laila Nicole can be contacted via phone (321) 207-0172.

Contact Information

Primary practice address
175 W Pine Ave Longwood FL 32750-4168
Phone: (321) 207-0172
Fax: (321) 201-0175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111509 Florida

Profile Details

NPI number 1922585496
LBN Legal business name Habib, Laila Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Jan 9th, 2024 - about last year

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 1922585496 NPPES
Florida MEDICAID 120544200

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