Prince, Coralie
Prince, Coralie is an sole proprietor health care provider with primary practice located at 2440 Emerson Dr Se , Palm Bay FL 32909-4972. She recently has only one registered license in Other Service Providers / Lodging, which is considered as her primary health care specialty. Prince, Coralie can be contacted via phone (321) 299-7687.Contact Information
Primary practice address
2440 Emerson Dr Se
Palm Bay FL 32909-4972
Phone: (321) 299-7687
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lodging | 177F00000X | AL11411 | Florida |
Profile Details
| NPI number | 1497998371 |
|---|---|
| LBN Legal business name | Prince, Coralie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2009 |
| Last updated | Apr 8th, 2009 - about 16 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 | 1497998371 | NPPES |
| Florida | MEDICAID | 142640100 |
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