Raymond, Edena Pavilis
Raymond, Edena Pavilis is an sole proprietor health care provider with primary practice located at 9822 Brookfield Farm Ct Apt 203 , Riverview FL 33578-7575. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Raymond, Edena Pavilis can be contacted via phone (813) 458-2859.Contact Information
Primary practice address
9822 Brookfield Farm Ct Apt 203
Riverview FL 33578-7575
Phone: (813) 458-2859
Fax: (813) 398-5801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1518478585 |
|---|---|
| LBN Legal business name | Raymond, Edena Pavilis |
| Credentials | SOLO PROVIDER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2017 |
| Last updated | Oct 18th, 2017 - about 8 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 | 1518478585 | NPPES |
| Florida | MEDICAID | 017204400 |
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