Derenoncourt, Vladimir

Derenoncourt, Vladimir is an individual health care provider with primary practice located at 11645 Biscayne Blvd Ste 302 , North Miami FL 33181-3138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Derenoncourt, Vladimir can be contacted via phone (305) 538-8835.

Contact Information

Primary practice address
11645 Biscayne Blvd Ste 302 North Miami FL 33181-3138
Phone: (305) 538-8835
Fax: (305) 938-4044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS7487 Florida

Profile Details

NPI number 1518921428
LBN Legal business name Derenoncourt, Vladimir
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Sep 19th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1518921428 NPPES
Florida MEDICAID 257992800

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