Herrada, Leidys
Herrada, Leidys is an sole proprietor health care provider with primary practice located at 607 W Obispo Ave , Clewiston FL 33440-4326. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Herrada, Leidys can be contacted via phone (863) 677-4189.Contact Information
Primary practice address
607 W Obispo Ave
Clewiston FL 33440-4326
Phone: (863) 677-4189
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 5582-6-GA | Florida |
Profile Details
| NPI number | 1609467836 |
|---|---|
| LBN Legal business name | Herrada, Leidys |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2021 |
| Last updated | Jan 30th, 2021 - about 4 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 | 1609467836 | NPPES |
| Florida | MEDICAID | 015443100 |
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