Manderson, Charlot Marie

Manderson, Charlot Marie is an sole proprietor health care provider with primary practice located at 1002 S Dillard St , Winter Garden FL 34787-3991. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Manderson, Charlot Marie can be contacted via phone (407) 877-0029.

Contact Information

Primary practice address
1002 S Dillard St Winter Garden FL 34787-3991
Phone: (407) 877-0029
Fax: (407) 358-5207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1497314504
LBN Legal business name Manderson, Charlot Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2019
Last updated Jul 11th, 2019 - about 6 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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