Plaza, Mariannette
Plaza, Mariannette is an sole proprietor health care provider with primary practice located at 127 Ridge Center Dr , Davenport FL 33837-6401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Plaza, Mariannette can be contacted via phone (863) 421-7400.Contact Information
Primary practice address
127 Ridge Center Dr
Davenport FL 33837-6401
Phone: (863) 421-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN9408302 | Florida |
Profile Details
| NPI number | 1477535144 |
|---|---|
| LBN Legal business name | Plaza, Mariannette |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jun 18th, 2024 - about 6 months 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 | 1477535144 | NPPES |
| Florida | MEDICAID | 102182000 |
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