Marcus, Nicole Eldridge
Marcus, Nicole Eldridge is an individual health care provider with primary practice located at 7685 Sw 104Th St Ste 100 , Pinecrest FL 33156-3161. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Marcus, Nicole Eldridge can be contacted via phone (305) 877-3333.Contact Information
Primary practice address
7685 Sw 104Th St Ste 100
Pinecrest FL 33156-3161
Phone: (305) 877-3333
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY7161 | Florida |
Profile Details
NPI number | 1578283867 |
---|---|
LBN Legal business name | Marcus, Nicole Eldridge |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2022 |
Last updated | Aug 29th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578283867 | NPPES |
Florida | Other | 1669517462 | NPPES |
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