Harry, Desiree

Harry, Desiree is an individual health care provider with primary practice located at 12401 Orange Dr Suite 219, Davie FL 33330-4341. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Harry, Desiree can be contacted via phone (954) 862-1707.

Contact Information

Primary practice address
12401 Orange Dr Suite 219 Davie FL 33330-4341
Phone: (954) 862-1707
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1548553449
LBN Legal business name Harry, Desiree
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2011
Last updated May 25th, 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 1548553449 NPPES
Florida MEDICAID 003135700

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