Theobalds, Pauline Rozelle

Theobalds, Pauline Rozelle is an individual health care provider with primary practice located at 10700 N Kendall Dr Ste 200 , Miami FL 33176. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Theobalds, Pauline Rozelle can be contacted via phone (305) 270-7999.

Contact Information

Primary practice address
10700 N Kendall Dr Ste 200 Miami FL 33176
Phone: (305) 270-7999
Fax: (305) 270-6788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP2725772 Florida

Profile Details

NPI number 1053303537
LBN Legal business name Theobalds, Pauline Rozelle
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Aug 14th, 2018 - about 6 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 1053303537 NPPES
Florida MEDICAID 340448000

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