Stallworth, Demetrius

Stallworth, Demetrius is an individual health care provider with primary practice located at 490 Vineyard Ln , Orange Park FL 32073-7678. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Stallworth, Demetrius can be contacted via phone (904) 233-2008.

Contact Information

Primary practice address

490 Vineyard Ln Orange Park FL 32073-7678

Phone: (904) 233-2008

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Licensed Practical Nurse	164W00000X	PN5192381	Florida

Profile Details

NPI number	1629506274
LBN Legal business name	Stallworth, Demetrius
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 26th, 2017
Last updated	Jul 21st, 2022 - 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.

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