Maddox, Mandisa

Maddox, Mandisa is an sole proprietor health care provider with primary practice located at 209 Hickory St , New Smyrna Beach FL 32168-8189. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Maddox, Mandisa can be contacted via phone (386) 576-4198.

Contact Information

Primary practice address
209 Hickory St New Smyrna Beach FL 32168-8189
Phone: (386) 576-4198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 120728 Florida

Profile Details

NPI number 1508464157
LBN Legal business name Maddox, Mandisa
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2020
Last updated Dec 19th, 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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