Dedmon, Mary Frances
Dedmon, Mary Frances is an individual health care provider with primary practice located at 780 Sw 24Th St Medical Administration, Fort Lauderdale FL 33315-2643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Dedmon, Mary Frances can be contacted via phone (954) 467-4822.Contact Information
Primary practice address
780 Sw 24Th St Medical Administration
Fort Lauderdale FL 33315-2643
Phone: (954) 467-4822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ARNP1144052 | Florida |
Profile Details
| NPI number | 1376678748 |
|---|---|
| LBN Legal business name | Dedmon, Mary Frances |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jan 28th, 2013 - about 12 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 | 1376678748 | NPPES |
| Florida | MEDICAID | 3044262-00 |
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