Mathis, Anita Marie

Mathis, Anita Marie is an sole proprietor health care provider with primary practice located at 1202 Landings Loop , Tallahassee FL 32311-1289. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Mathis, Anita Marie can be contacted via phone (850) 228-0844.

Contact Information

Primary practice address
1202 Landings Loop Tallahassee FL 32311-1289
Phone: (850) 228-0844
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1558591453
LBN Legal business name Mathis, Anita Marie
Credentials MS, SPECIAL ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2009
Last updated Mar 7th, 2019 - 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 1558591453 NPPES
Florida MEDICAID 010834900

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