Jean-Gilles, Michele Marie

Jean-Gilles, Michele Marie is an individual health care provider with primary practice located at 1909 Tyler St Suite 504, Hollywood FL 33020-4527. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jean-Gilles, Michele Marie can be contacted via phone (954) 929-7515.

Contact Information

Primary practice address
1909 Tyler St Suite 504 Hollywood FL 33020-4527
Phone: (954) 929-7515
Fax: (954) 929-7510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY5592 Florida

Profile Details

NPI number 1366630428
LBN Legal business name Jean-Gilles, Michele Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Oct 12th, 2007 - about 18 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 1366630428 NPPES
Florida MEDICAID 767892400

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