Leavitt, Amalia

Leavitt, Amalia is an sole proprietor health care provider with primary practice located at 8814 Forest Lake Dr , Port Richey FL 34668-5819. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Leavitt, Amalia can be contacted via phone (813) 453-8110.

Contact Information

Primary practice address
8814 Forest Lake Dr Port Richey FL 34668-5819
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1033378534
LBN Legal business name Leavitt, Amalia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2008
Last updated Jul 21st, 2008 - about 16 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 1033378534 NPPES
Florida MEDICAID 687794096

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