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Contact Information

ROSE A ILLES, PhD
2780 CLEVELAND AVE
SUITE 709
FORT MYERS, FL33901
 Phone: 239-343-3831
 Fax: 239-343-2301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROSE A ILLES · (Female)

NPI # 1205083888
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/26/2008
Last updated 03/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PY8790
  • FL Medicaid 100457900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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