Morris, Shakera Ann
Morris, Shakera Ann is an sole proprietor health care provider with primary practice located at 905 Ne Prima Vista Blvd Ste A , Port St Lucie FL 34952-2360. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Morris, Shakera Ann can be contacted via phone (772) 634-2451.Contact Information
Primary practice address
905 Ne Prima Vista Blvd Ste A
Port St Lucie FL 34952-2360
Phone: (772) 634-2451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1447753694 |
|---|---|
| LBN Legal business name | Morris, Shakera Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2018 |
| Last updated | Mar 14th, 2018 - about 6 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 | 1447753694 | NPPES |
| Florida | MEDICAID | 019104900 |
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