Eisdorfer, Alida

Eisdorfer, Alida is an sole proprietor health care provider with primary practice located at 660 Executive Park Ct Suite 1000, Apopka FL 32703-6045. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Eisdorfer, Alida can be contacted via phone (407) 682-2570.

Contact Information

Primary practice address
660 Executive Park Ct Suite 1000 Apopka FL 32703-6045
Fax: (407) 862-5048
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7840 Florida

Profile Details

NPI number 1629194683
LBN Legal business name Eisdorfer, Alida
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Apr 11th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629194683 NPPES
Florida MEDICAID 7665156 00

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