Fichera, Jeffrey S

Fichera, Jeffrey S is an individual health care provider with primary practice located at 133 Benmore Dr Suite 100, Winter Park FL 32792-4143. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fichera, Jeffrey S can be contacted via phone (407) 644-4883.

Contact Information

Primary practice address
133 Benmore Dr Suite 100 Winter Park FL 32792-4143
Phone: (407) 644-4883
Fax: (407) 644-3697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2647 Florida

Profile Details

NPI number 1164429346
LBN Legal business name Fichera, Jeffrey S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2005
Last updated Dec 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164429346 NPPES
Other 970016626 RR MEDICARE
Other 970016627 RR MEDICARE
MEDICAID 291070500 RR MEDICARE
Other 01103936 RR MEDICARE
Other 970016628 RR MEDICARE

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