Dearriba, Edgardo

Dearriba, Edgardo is an sole proprietor health care provider with primary practice located at 363 S Homestead Blvd , Homestead FL 33030-7309. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Dearriba, Edgardo can be contacted via phone (855) 226-6633.

Contact Information

Primary practice address
363 S Homestead Blvd Homestead FL 33030-7309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-83572 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN-9364398 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN-11021754 Florida

Profile Details

NPI number 1245897701
LBN Legal business name Dearriba, Edgardo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2019
Last updated Nov 7th, 2022 - about 3 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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