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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497776843 | NPPES |
| Florida | Other | Y9580 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 303242600 | BLUE CROSS BLUE SHIELD |
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