Provider Demographics
NPI:1437813961
Name:FILS, SAUNA JEAN
Entity Type:Individual
Prefix:
First Name:SAUNA
Middle Name:JEAN
Last Name:FILS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E CENTRAL AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-6339
Mailing Address - Country:US
Mailing Address - Phone:813-528-7020
Mailing Address - Fax:
Practice Address - Street 1:141 E CENTRAL AVE STE 300
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-6339
Practice Address - Country:US
Practice Address - Phone:813-528-7020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-30
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9455844163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health