Hanley-Gumbs, Juanita S

Hanley-Gumbs, Juanita S is an individual health care provider with primary practice located at 13800 Pines Blvd , Pembroke Pines FL 33027-1508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hanley-Gumbs, Juanita S can be contacted via phone (866) 825-3227.

Contact Information

Primary practice address
13800 Pines Blvd Pembroke Pines FL 33027-1508
Phone: (866) 825-3227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2774922 Florida

Profile Details

NPI number 1497776843
LBN Legal business name Hanley-Gumbs, Juanita S
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 18th, 2011 - about 13 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 1497776843 NPPES
Florida Other Y9580 BLUE CROSS BLUE SHIELD
Florida MEDICAID 303242600 BLUE CROSS BLUE SHIELD

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