Mijares, Eileen Sullivan

Mijares, Eileen Sullivan is an sole proprietor health care provider with primary practice located at 3042 Carlow Cir , Tallahassee FL 32309-3303. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mijares, Eileen Sullivan can be contacted via phone (305) 968-1312.

Contact Information

Primary practice address
3042 Carlow Cir Tallahassee FL 32309-3303
Phone: (305) 968-1312
Fax: (850) 807-5114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA7115 Florida

Profile Details

NPI number 1962548487
LBN Legal business name Mijares, Eileen Sullivan
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jan 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962548487 NPPES
Florida MEDICAID 889101000
Florida Other SA7115

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