Polydor, Marie

Polydor, Marie is an sole proprietor health care provider with primary practice located at 4504 Crimson Ct , Orlando FL 32808-2202. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Polydor, Marie can be contacted via phone (407) 413-4337.

Contact Information

Primary practice address
4504 Crimson Ct Orlando FL 32808-2202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1386318624
LBN Legal business name Polydor, Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2021
Last updated Sep 24th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386318624 NPPES
Florida MEDICAID 845281

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