Umstead, Vida V

Umstead, Vida V is an individual health care provider with primary practice located at 4225 Nw American Ln , Lake City FL 32055-8841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Umstead, Vida V can be contacted via phone (386) 758-6141.

Contact Information

Primary practice address
4225 Nw American Ln Lake City FL 32055-8841
Phone: (386) 758-6141
Fax: (386) 758-6140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2908802 Florida

Profile Details

NPI number 1366471914
LBN Legal business name Umstead, Vida V
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 10th, 2011 - about 13 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 1366471914 NPPES
Florida Other ARNP2908802 FLORIDA LICENSE NUMBER
Florida MEDICAID 307438200 FLORIDA LICENSE NUMBER

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