Dismuke, Desiree

Dismuke, Desiree is an individual health care provider with primary practice located at 151 W Church Ave , Longwood FL 32750-4105. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Dismuke, Desiree can be contacted via phone (407) 342-4220.

Contact Information

Primary practice address
151 W Church Ave Longwood FL 32750-4105
Phone: (407) 342-4220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1417495821
LBN Legal business name Dismuke, Desiree
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2017
Last updated Jun 6th, 2019 - about 6 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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