Mondestin, Amonise

Mondestin, Amonise is an sole proprietor health care provider with primary practice located at 4600 Cypress Knee Dr , Boca Raton FL 33487-2116. She recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is her primary health care specialty. Mondestin, Amonise can be contacted via phone (561) 853-5260.

Contact Information

Primary practice address
4600 Cypress Knee Dr Boca Raton FL 33487-2116
Phone: (561) 853-5260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 6907014 Florida
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 6907014 Florida

Profile Details

NPI number 1053921619
LBN Legal business name Mondestin, Amonise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2020
Last updated Aug 7th, 2020 - about 4 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 1053921619 NPPES
Florida MEDICAID 106070200
Florida Other 6907014
Florida Other 255059

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