Ifill, Antoinita

Ifill, Antoinita is an individual health care provider with primary practice located at 3111 S Dixie Hwy , West Palm Beach FL 33405-1557. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ifill, Antoinita can be contacted via phone (561) 366-9400.

Contact Information

Primary practice address
3111 S Dixie Hwy West Palm Beach FL 33405-1557
Phone: (561) 366-9400
Fax: (561) 366-4851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1801187018
LBN Legal business name Ifill, Antoinita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Apr 21st, 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 1801187018 NPPES
Florida MEDICAID 002143200

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