Jolly, Linda S

Jolly, Linda S is an individual health care provider with primary practice located at 800 Virginia Ave Ste 59 F , Fort Pierce FL 34982-5892. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jolly, Linda S can be contacted via phone (772) 468-9333.

Contact Information

Primary practice address
800 Virginia Ave Ste 59 F Fort Pierce FL 34982-5892
Fax: (772) 468-9360
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Florida

Profile Details

NPI number 1922108703
LBN Legal business name Jolly, Linda S
Credentials WSC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 9th, 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 1922108703 NPPES
Florida MEDICAID 68994868

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