Illes, Rose Ann

Illes, Rose Ann is an individual health care provider with primary practice located at 2780 Cleveland Ave Suite 709, Fort Myers FL 33901. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Illes, Rose Ann can be contacted via phone (239) 343-3831.

Contact Information

Primary practice address
2780 Cleveland Ave Suite 709 Fort Myers FL 33901
Phone: (239) 343-3831
Fax: (239) 343-2301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY8790 Florida

Profile Details

NPI number 1205083888
LBN Legal business name Illes, Rose Ann
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Mar 25th, 2021 - about 3 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 1205083888 NPPES
Florida MEDICAID 100457900

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