Provider Demographics
NPI:1033867171
Name:NEEDS, CONSUELO V
Entity Type:Individual
Prefix:
First Name:CONSUELO
Middle Name:V
Last Name:NEEDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:V
Other - Last Name:NEEDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18263 FLAGSHIP CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3363
Mailing Address - Country:US
Mailing Address - Phone:561-575-2515
Mailing Address - Fax:
Practice Address - Street 1:18263 FLAGSHIP CIR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3363
Practice Address - Country:US
Practice Address - Phone:561-575-2515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246YC3301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Hospital BasedGroup - Single Specialty