Shade, Jonathan Peter

Shade, Jonathan Peter is an individual health care provider with primary practice located at 1509 W Orange Blossom Trl , Apopka FL 32712-2640. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Shade, Jonathan Peter can be contacted via phone (407) 814-0436.

Contact Information

Primary practice address
1509 W Orange Blossom Trl Apopka FL 32712-2640
Phone: (407) 814-0436
Fax: (407) 814-0818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT1641 Florida

Profile Details

NPI number 1740658202
LBN Legal business name Shade, Jonathan Peter
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Sep 14th, 2015 - about 10 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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