Dericho, Audrey Elaine

Dericho, Audrey Elaine is an sole proprietor health care provider with primary practice located at 15131 Tyler St , Miami FL 33176-7644. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Dericho, Audrey Elaine can be contacted via phone (786) 205-5491.

Contact Information

Primary practice address
15131 Tyler St Miami FL 33176-7644
Phone: (786) 205-5491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X Florida

Profile Details

NPI number 1700669850
LBN Legal business name Dericho, Audrey Elaine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 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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