Victoria Haire

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Mims, FL

NPI 1861933459 · NPPES record last updated Mar 15, 2017

Key facts

NPI
1861933459
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1220 Flatwoods Rd
Mims, FL 32754-6257
Phone
(407) 467-0784
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1220 Flatwoods Rd
Mims, FL 32754-6257

Mailing address

1220 Flatwoods Rd
Mims, FL 32754-6257
Phone (407) 467-0784

Other providers in Mims, FL

All providers in Mims, FL · Student in an Organized Health Care Education/Training Program in Florida

Sources for this page

Verify at the official NPI Registry.