Derefaka, George

Derefaka, George is an individual health care provider with primary practice located at 3601 W Commercial Blvd Suite 5, Ft Lauderdale FL 33309-3300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Derefaka, George can be contacted via phone (954) 703-2931.

Contact Information

Primary practice address
3601 W Commercial Blvd Suite 5 Ft Lauderdale FL 33309-3300
Phone: (954) 703-2931
Fax: (954) 585-0297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN9274231 Florida

Profile Details

NPI number 1386074474
LBN Legal business name Derefaka, George
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2013
Last updated Nov 26th, 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.

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