MEDICARE: JOSETTE PAJOTTE LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN5195705	FL

General Provider Information

NPI Number	:	1386068781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSETTE PAJOTTE LPN

Provider Business Mailing Address
First Line	:	2502 LAKE DEBRA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8722
Country	:	US
Telephone Number	:	407-914-6080
Fax Number	:	407-250-5459

Provider Business Practice Location Address
First Line	:	2502 LAKE DEBRA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8722
Country	:	US
Telephone Number	:	407-914-6080
Fax Number	:	407-250-5459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2014
Last Update Date	:	02/07/2014

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