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Contact Information

WILDA B BEAUVAIS, DR.
6453 PEMBROKE RD
HOLLYWOOD, FL33023-2137
 Phone: 954-559-4066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for WILDA B BEAUVAIS · (Female)

NPI # 1497315121
Status Active
Credentials DR.
Entity Individual
Enumeration date 06/14/2019
Last updated 12/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # RN9435744
  • FL Medicaid 83-1548904
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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