Derakhshan, Michael

Derakhshan, Michael is an individual health care provider with primary practice located at 8640 E State Road 70 , Bradenton FL 34202-3785. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Derakhshan, Michael can be contacted via phone (941) 756-3410.

Contact Information

Primary practice address
8640 E State Road 70 Bradenton FL 34202-3785
Phone: (941) 756-3410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17541 Florida

Profile Details

NPI number 1447300223
LBN Legal business name Derakhshan, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 18 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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