Raphael, Judenie
Raphael, Judenie is an individual health care provider with primary practice located at 1128 N Laura St , Jacksonville FL 32206-4912. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Nursing Service Related Providers / Homemaker, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Raphael, Judenie can be contacted via phone (904) 344-3403.Contact Information
Primary practice address
1128 N Laura St
Jacksonville FL 32206-4912
Phone: (904) 344-3403
Fax: (904) 355-4149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 9502265 | Florida |
| Nursing Service Providers / Home Health | 163WH0200X | 9502265 | Florida |
| Nursing Service Related Providers / Homemaker | 376J00000X | ||
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AY1834 | Florida |
Profile Details
| NPI number | 1871914275 |
|---|---|
| LBN Legal business name | Raphael, Judenie |
| Credentials | AU.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2014 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1871914275 | NPPES |
| Florida | MEDICAID | 010514600 | |
| Florida | MEDICAID | 003154616A |
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