Jacir, Edith Lisbeth

Jacir, Edith Lisbeth is an sole proprietor health care provider with primary practice located at 4474 Weston Rd Mb#214, Davie FL 33331-3195. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jacir, Edith Lisbeth can be contacted via phone (954) 644-2645.

Contact Information

Primary practice address
4474 Weston Rd Mb#214 Davie FL 33331-3195
Fax: (954) 385-9505
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5276 Florida

Profile Details

NPI number 1669514246
LBN Legal business name Jacir, Edith Lisbeth
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 17 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 1669514246 NPPES
Florida MEDICAID 8850445

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