Leyva Fernandez, Marilyn

Leyva Fernandez, Marilyn is an individual health care provider with primary practice located at 410 Blanding Blvd Ste 6B , Orange Park FL 32073-5065. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Leyva Fernandez, Marilyn can be contacted via phone (904) 276-5950.

Contact Information

Primary practice address
410 Blanding Blvd Ste 6B Orange Park FL 32073-5065
Phone: (904) 276-5950
Fax: (904) 276-5359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH24841 Florida

Profile Details

NPI number 1144824590
LBN Legal business name Leyva Fernandez, Marilyn
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2020
Last updated Nov 25th, 2020 - about 5 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 1144824590 NPPES
Florida Other DH24841 LICENSE NUMBER

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