Moore, Shanquita
Moore, Shanquita is an sole proprietor health care provider with primary practice located at 9602 Seaview Dr Apt 101 , Leesburg FL 34788-7699. She recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as her primary health care specialty. Moore, Shanquita can be contacted via phone (850) 960-3277.Contact Information
Primary practice address
9602 Seaview Dr Apt 101
Leesburg FL 34788-7699
Phone: (850) 960-3277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Adult Companion | 372600000X | Florida |
Profile Details
| NPI number | 1689283590 |
|---|---|
| LBN Legal business name | Moore, Shanquita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2020 |
| Last updated | Jul 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689283590 | NPPES |
| Florida | MEDICAID | 000000000 |
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