Theodore, Awilda
Theodore, Awilda is an sole proprietor health care provider with primary practice located at 824A Lake Ave #309, Lake Worth FL 33460. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Theodore, Awilda can be contacted via phone (561) 425-4665.Contact Information
Primary practice address
824A Lake Ave #309
Lake Worth FL 33460
Phone: (561) 425-4665
Fax: (561) 828-3145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | 233660 | Florida |
Profile Details
| NPI number | 1992297634 |
|---|---|
| LBN Legal business name | Theodore, Awilda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2018 |
| Last updated | May 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992297634 | NPPES |
| Florida | Other | 465654452 | HOMEMAKER |
| Florida | Other | L14000078528 | HOMEMAKER |
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