Valloneshimko, Laurie

Valloneshimko, Laurie is an individual health care provider with primary practice located at 1626 Sheffield Pl , Orange Park FL 32073-5268. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Valloneshimko, Laurie can be contacted via phone (904) 269-7751.

Contact Information

Primary practice address
1626 Sheffield Pl Orange Park FL 32073-5268
Phone: (904) 269-7751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT0014414 Florida

Profile Details

NPI number 1659357705
LBN Legal business name Valloneshimko, Laurie
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Nov 27th, 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 1659357705 NPPES
Florida Other 675795996 MEDWAIVER PROVIDER NUMBER
Florida MEDICAID 885134400 MEDWAIVER PROVIDER NUMBER

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