Lara Petrick, Montserrat Anilu
Lara Petrick, Montserrat Anilu is an individual health care provider with primary practice located at 800 Prudential Dr , Jacksonville FL 32207-8202. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Lara Petrick, Montserrat Anilu can be contacted via phone (904) 861-2679.Contact Information
Primary practice address
800 Prudential Dr
Jacksonville FL 32207-8202
Phone: (904) 861-2679
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 24-239 |
Profile Details
| NPI number | 1548017114 |
|---|---|
| LBN Legal business name | Lara Petrick, Montserrat Anilu |
| Credentials | SA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2024 |
| Last updated | May 2nd, 2024 - about 6 months 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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