Smith, Pamela Yvetta

Smith, Pamela Yvetta is an sole proprietor health care provider with primary practice located at 4214 Cypress Glades Ln , Orlando FL 32824-7417. She recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Homemaker, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Smith, Pamela Yvetta can be contacted via phone (407) 312-4779.

Contact Information

Primary practice address
4214 Cypress Glades Ln Orlando FL 32824-7417
Phone: (407) 312-4779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Florida
Nursing Service Related Providers / Adult Companion 372600000X Florida
Nursing Service Related Providers / Homemaker 376J00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1306449707
LBN Legal business name Smith, Pamela Yvetta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2020
Last updated Sep 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306449707 NPPES
Florida MEDICAID 103749600

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