Previlon, Josephine A
Previlon, Josephine A is an individual health care provider with primary practice located at 603 N Flamingo Rd Ste 151 , Pembroke Pines FL 33028-1021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Previlon, Josephine A can be contacted via phone (954) 265-4325.Contact Information
Primary practice address
603 N Flamingo Rd Ste 151
Pembroke Pines FL 33028-1021
Phone: (954) 265-4325
Fax: (954) 436-4606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9102732 | Florida |
Profile Details
| NPI number | 1629028287 |
|---|---|
| LBN Legal business name | Previlon, Josephine A |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629028287 | NPPES |
| Florida | MEDICAID | 292155300 |
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