Fedrick, Devora Dionne

Fedrick, Devora Dionne is an individual health care provider with primary practice located at 3140 S Falkenburg Rd , Riverview FL 33578-2574. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Fedrick, Devora Dionne can be contacted via phone (813) 660-7150.

Contact Information

Primary practice address
3140 S Falkenburg Rd Riverview FL 33578-2574
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP9411595 Florida

Profile Details

NPI number 1699251959
LBN Legal business name Fedrick, Devora Dionne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2018
Last updated Jun 8th, 2021 - about 3 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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