Mathis, Vera Renita

Mathis, Vera Renita is an sole proprietor health care provider with primary practice located at 331 Thomasdale Ave , Haines City FL 33844-6381. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Mathis, Vera Renita can be contacted via phone (863) 242-1261.

Contact Information

Primary practice address
331 Thomasdale Ave Haines City FL 33844-6381
Phone: (863) 242-1261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 6906328 Florida

Profile Details

NPI number 1568897700
LBN Legal business name Mathis, Vera Renita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2013
Last updated Sep 6th, 2013 - about 11 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 1568897700 NPPES
Florida MEDICAID 002740700

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