Villafane, Mayomy Annette
Villafane, Mayomy Annette is an individual health care provider with primary practice located at 11523 Nw 6Th Ct , Coral Springs FL 33071-4117. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Villafane, Mayomy Annette can be contacted via phone (954) 753-7650.Contact Information
Primary practice address
11523 Nw 6Th Ct
Coral Springs FL 33071-4117
Phone: (954) 753-7650
Fax: (954) 753-7650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146005537 | Illinois |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA4456 | Florida |
Profile Details
| NPI number | 1720112972 |
|---|---|
| LBN Legal business name | Villafane, Mayomy Annette |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Apr 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720112972 | NPPES |
| Florida | MEDICAID | 000546300 | |
| Florida | MEDICAID | 000259200 | |
| Florida | MEDICAID | 103034 |
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