Pathiyil, Jennifer Ann
Pathiyil, Jennifer Ann is an individual health care provider with primary practice located at 11645 Biscayne Blvd Ste 103 , North Miami FL 33181-3138. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pathiyil, Jennifer Ann can be contacted via phone (305) 538-8835.Contact Information
Primary practice address
11645 Biscayne Blvd Ste 103
North Miami FL 33181-3138
Phone: (305) 538-8835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC5424 | Florida |
Profile Details
| NPI number | 1124545827 |
|---|---|
| LBN Legal business name | Pathiyil, Jennifer Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2017 |
| Last updated | Sep 19th, 2023 - about last year |
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 | 1124545827 | NPPES |
| Florida | MEDICAID | 101304000 |
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