Villavicencio, Nely Gabasa

Villavicencio, Nely Gabasa is an individual health care provider with primary practice located at 2750 N Mcmullen Booth Rd Suite 102-E, Clearwater FL 33761-3362. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Villavicencio, Nely Gabasa can be contacted via phone (813) 944-2178.

Contact Information

Primary practice address
2750 N Mcmullen Booth Rd Suite 102-E Clearwater FL 33761-3362
Phone: (813) 944-2178
Fax: (813) 343-8107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 299993080 Florida

Profile Details

NPI number 1184890220
LBN Legal business name Villavicencio, Nely Gabasa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Feb 23rd, 2009 - about 16 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 1184890220 NPPES
Florida Other 299993080 STATE LICENSE NUMBER

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