Violette, Diane Lee

Violette, Diane Lee is an individual health care provider with primary practice located at 10041A Us Highway 19 , Port Richey FL 34668-3742. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Violette, Diane Lee can be contacted via phone (727) 868-0780.

Contact Information

Primary practice address
10041A Us Highway 19 Port Richey FL 34668-3742
Fax: (727) 868-0819
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DO3953 Florida

Profile Details

NPI number 1629238928
LBN Legal business name Violette, Diane Lee
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Jun 11th, 2008 - 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 1629238928 NPPES
Florida MEDICAID 630276900

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