Dedrick, Matthew
Dedrick, Matthew is an individual health care provider with primary practice located at 18550 Us Highway 441 , Mount Dora FL 32757-6751. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Dedrick, Matthew can be contacted via phone (352) 735-3755.Contact Information
Primary practice address
18550 Us Highway 441
Mount Dora FL 32757-6751
Phone: (352) 735-3755
Fax: (352) 735-3151
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9383368 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9383368 | Florida |
Profile Details
NPI number | 1801304530 |
---|---|
LBN Legal business name | Dedrick, Matthew |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2018 |
Last updated | Feb 9th, 2018 - about 6 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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