1366712119 NPI number — YOLANDA SIMONE BEST COTA/L

Table of content: LISA A STEINHAUER APNP (NPI 1457405193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366712119 NPI number — YOLANDA SIMONE BEST COTA/L

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEST
Provider First Name:
YOLANDA
Provider Middle Name:
SIMONE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
COTA/L
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366712119
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 INTERNATIONAL PARKWAY,
Provider Second Line Business Mailing Address:
REFLECTX STAFFING- SUITE 300
Provider Business Mailing Address City Name:
LAKE MARY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32746
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-579-4690
Provider Business Mailing Address Fax Number:
800-641-9184

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 INTERNATIONAL PKWY
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
LAKE MARY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32746-5061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-579-4690
Provider Business Practice Location Address Fax Number:
800-641-9184
Provider Enumeration Date:
01/11/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  OTA 10459 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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