Bermudez, Lidia Rosa

Bermudez, Lidia Rosa is an sole proprietor health care provider with primary practice located at 8805 Nw 179Th Ln , Hialeah FL 33018-6509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Bermudez, Lidia Rosa can be contacted via phone (305) 300-5501.

Contact Information

Primary practice address
8805 Nw 179Th Ln Hialeah FL 33018-6509
Phone: (305) 300-5501
Fax: (305) 824-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME0091458 Florida

Profile Details

NPI number 1730250663
LBN Legal business name Bermudez, Lidia Rosa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated May 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730250663 NPPES
Florida Other K7409 MEDICARE GROUP PIN
Florida Other 68549 MEDICARE GROUP PIN

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