Pace, Theresa Ann
Pace, Theresa Ann is an sole proprietor health care provider with primary practice located at 9056 Hickory Cir , Tampa FL 33615-1441. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Pace, Theresa Ann can be contacted via phone (813) 610-1562.Contact Information
Primary practice address
9056 Hickory Cir
Tampa FL 33615-1441
Phone: (813) 610-1562
Fax: (813) 884-8898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1922269463 |
|---|---|
| LBN Legal business name | Pace, Theresa Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Jun 18th, 2008 - about 17 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 | 1922269463 | NPPES |
| Florida | MEDICAID | 679802196 | |
| Florida | MEDICAID | 679802198 |
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