Stanton, Nicole Elyse

Stanton, Nicole Elyse is an sole proprietor health care provider with primary practice located at 9704 Dogwood Ave , Palm Beach Gardens FL 33410-4760. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Stanton, Nicole Elyse can be contacted via phone (561) 370-4202.

Contact Information

Primary practice address
9704 Dogwood Ave Palm Beach Gardens FL 33410-4760
Phone: (561) 370-4202
Fax: (561) 600-8438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OTT14475 Florida

Profile Details

NPI number 1164728713
LBN Legal business name Stanton, Nicole Elyse
Credentials MOT, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2011
Last updated Dec 13th, 2013 - about 11 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 1164728713 NPPES
Florida MEDICAID 003308800

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