Lee, Joan Odetta

Lee, Joan Odetta is an individual health care provider with primary practice located at 1765 Nw 189Th Ter , Miami Gardens FL 33056-3334. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Lee, Joan Odetta can be contacted via phone (305) 303-1219.

Contact Information

Primary practice address
1765 Nw 189Th Ter Miami Gardens FL 33056-3334
Phone: (305) 303-1219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X Florida

Profile Details

NPI number 1033862347
LBN Legal business name Lee, Joan Odetta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2022
Last updated Jan 27th, 2022 - about 2 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 1033862347 NPPES
Florida MEDICAID 686664696

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