Weise, Elizabeth V

Weise, Elizabeth V is an sole proprietor health care provider with primary practice located at 2360 Madrid Ave Se , Palm Bay FL 32909-6427. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Weise, Elizabeth V can be contacted via phone (321) 956-8141.

Contact Information

Primary practice address
2360 Madrid Ave Se Palm Bay FL 32909-6427
Fax: (321) 768-1220
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL9646 Florida

Profile Details

NPI number 1215278916
LBN Legal business name Weise, Elizabeth V
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2013
Last updated Nov 2nd, 2023 - about last year

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 1215278916 NPPES
Florida MEDICAID 001156500

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