Desormeaux, Freddy Cyriaque
Desormeaux, Freddy Cyriaque is an sole proprietor health care provider with primary practice located at 5664 Sw 60Th Ave , Ocala FL 34474-5677. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Desormeaux, Freddy Cyriaque can be contacted via phone (352) 291-5555.Contact Information
Primary practice address
5664 Sw 60Th Ave
Ocala FL 34474-5677
Phone: (352) 291-5555
Fax: (352) 291-5582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | P36279 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME141711 | Florida |
Profile Details
| NPI number | 1639246929 |
|---|---|
| LBN Legal business name | Desormeaux, Freddy Cyriaque |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639246929 | NPPES |
| Florida | Other | MA353 | MEDICARE |
| Florida | MEDICAID | 106100900 | MEDICARE |
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