White, Latoya Renee

White, Latoya Renee is an sole proprietor health care provider with primary practice located at 1009 Georgia Ave , Leesburg FL 34748-3707. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. White, Latoya Renee can be contacted via phone (352) 409-7958.

Contact Information

Primary practice address
1009 Georgia Ave Leesburg FL 34748-3707
Phone: (352) 409-7958
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 304813 Florida

Profile Details

NPI number 1740653617
LBN Legal business name White, Latoya Renee
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2015
Last updated Nov 2nd, 2015 - about 10 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 1740653617 NPPES
Florida MEDICAID 015924500

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