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Contact Information

GLORIA JEAN LELAIDIER
72 SOUTH ST
SAINT AUGUSTINE, FL32084-5127
 Phone: 904-824-4990
 Fax: 904-824-2226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for GLORIA JEAN LELAIDIER

NPI # 1598097768
LBN Legal business name GLORIA JEAN LELAIDIER
Authorized official GLORIA LELAIDIER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2010
Last updated 02/12/2010 - About 16 years ago
Identifiers
FL License # ARNP1634442
FL Medicaid 000392200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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