Dale, Jody-Ann
Dale, Jody-Ann is an sole proprietor health care provider with primary practice located at 400 N Hiatus Rd Ste 105 , Pembroke Pines FL 33026-5214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dale, Jody-Ann can be contacted via phone (954) 431-8000.Contact Information
Primary practice address
400 N Hiatus Rd Ste 105
Pembroke Pines FL 33026-5214
Phone: (954) 431-8000
Fax: (954) 436-0449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN9242103 | Florida |
Profile Details
| NPI number | 1417497496 |
|---|---|
| LBN Legal business name | Dale, Jody-Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2017 |
| Last updated | Feb 13th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417497496 | NPPES |
| Florida | MEDICAID | 020127400 |
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