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Contact Information

JACQUELINE CHARLES
613 HAMPTON ST
AUBURNDALE, FL33823-3322
 Phone: 863-852-5195
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for JACQUELINE CHARLES · (Female)

NPI Number 1477270494
Status Active
Credentials
Entity Individual
Enumeration date 10/20/2022
Last updated 10/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL Medicaid 114312700
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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