Dedmon, Corey

Dedmon, Corey is an individual health care provider with primary practice located at 4923 Patagonia Pl , Land O Lakes FL 34638-3733. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Dedmon, Corey can be contacted via phone (813) 862-8341.

Contact Information

Primary practice address
4923 Patagonia Pl Land O Lakes FL 34638-3733
Phone: (813) 862-8341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11020067 Florida

Profile Details

NPI number 1164151197
LBN Legal business name Dedmon, Corey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2022
Last updated Jun 6th, 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.

Request for update

Popular Providers