Mead, Jill
Mead, Jill is an sole proprietor health care provider with primary practice located at 3577 Sw Corporate Pkwy , Palm City FL 34990-8153. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mead, Jill can be contacted via phone (772) 220-3439.Contact Information
Primary practice address
3577 Sw Corporate Pkwy
Palm City FL 34990-8153
Phone: (772) 220-3439
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Florida |
Profile Details
| NPI number | 1780222687 |
|---|---|
| LBN Legal business name | Mead, Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2019 |
| Last updated | Dec 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780222687 | NPPES |
| Florida | MEDICAID | 193200000X |
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