Youngblood, Joan Leslie
Youngblood, Joan Leslie is an sole proprietor health care provider with primary practice located at 680 Bentley St , Oviedo FL 32765-8169. She recently has only one registered license in Agencies / Foster Care Agency, which is considered as her primary health care specialty. Youngblood, Joan Leslie can be contacted via phone (407) 366-4565.Contact Information
Primary practice address
680 Bentley St
Oviedo FL 32765-8169
Phone: (407) 366-4565
Fax: (407) 971-8745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X |
Profile Details
| NPI number | 1134393127 |
|---|---|
| LBN Legal business name | Youngblood, Joan Leslie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2008 |
| Last updated | Apr 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134393127 | NPPES |
| Florida | MEDICAID | 230328100 |
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