Hankerson, Lavonda Ruth
Hankerson, Lavonda Ruth is an sole proprietor health care provider with primary practice located at 20345 W Country Club Dr # Th-14 , Aventura FL 33180-1631. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Hankerson, Lavonda Ruth can be contacted via phone (305) 792-4931.Contact Information
Primary practice address
20345 W Country Club Dr # Th-14
Aventura FL 33180-1631
Phone: (305) 792-4931
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1518524669 |
|---|---|
| LBN Legal business name | Hankerson, Lavonda Ruth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2019 |
| Last updated | Jun 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518524669 | NPPES |
| Florida | MEDICAID | 750921 |
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