Marquez, Michelle

Marquez, Michelle is an sole proprietor health care provider with primary practice located at 16306 Alladin Way , Tampa FL 33624-1105. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Marquez, Michelle can be contacted via phone (813) 610-8687.

Contact Information

Primary practice address
16306 Alladin Way Tampa FL 33624-1105
Phone: (813) 610-8687
Fax: (813) 962-2970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1053064378
LBN Legal business name Marquez, Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
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 1053064378 NPPES
Florida MEDICAID 003310400

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