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
Fax: (407) 971-8745
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134393127 NPPES
Florida MEDICAID 230328100

Popular Providers