Ice, Lys Maike
Ice, Lys Maike is an sole proprietor health care provider with primary practice located at 853 Sunridge Point Dr , Seffner FL 33584-5915. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ice, Lys Maike can be contacted via phone (740) 538-1100.Contact Information
Primary practice address
853 Sunridge Point Dr
Seffner FL 33584-5915
Phone: (740) 538-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11012671 | Florida |
Profile Details
| NPI number | 1548976830 |
|---|---|
| LBN Legal business name | Ice, Lys Maike |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2023 |
| Last updated | Jan 30th, 2023 - about last year |
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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