Wilson, Luequayn Tae

Wilson, Luequayn Tae is an sole proprietor health care provider with primary practice located at 3001 Aloma Ave # 219 , Winter Park FL 32792-3752. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Wilson, Luequayn Tae can be contacted via phone (407) 497-7409.

Contact Information

Primary practice address
3001 Aloma Ave # 219 Winter Park FL 32792-3752
Phone: (407) 497-7409
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Florida

Profile Details

NPI number 1366979643
LBN Legal business name Wilson, Luequayn Tae
Credentials NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2017
Last updated Jul 21st, 2022 - about 2 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 1366979643 NPPES
Florida MEDICAID 2017051710580007

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