Jean, Hermina

Jean, Hermina is an sole proprietor health care provider with primary practice located at 3502 Londonberry Blvd , Orlando FL 32808-3629. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Jean, Hermina can be contacted via phone (407) 334-5475.

Contact Information

Primary practice address
3502 Londonberry Blvd Orlando FL 32808-3629
Phone: (407) 334-5475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X AHCA # 6906583 Florida

Profile Details

NPI number 1386045813
LBN Legal business name Jean, Hermina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2014
Last updated Sep 16th, 2014 - about 10 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 1386045813 NPPES
Florida MEDICAID 008297100

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