Fiedler, Jodi Allene
Fiedler, Jodi Allene is an individual health care provider with primary practice located at 21020 State Road 7 Suite 120, Boca Raton FL 33428-1320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Fiedler, Jodi Allene can be contacted via phone (561) 883-5640.Contact Information
Primary practice address
21020 State Road 7 Suite 120
Boca Raton FL 33428-1320
Phone: (561) 883-5640
Fax: (561) 409-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME80070 | Florida |
Profile Details
| NPI number | 1710987300 |
|---|---|
| LBN Legal business name | Fiedler, Jodi Allene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Apr 2nd, 2014 - about 10 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 | 1710987300 | NPPES |
| Florida | Other | 2548084 | AETNA PROVIDER ID |
| Florida | Other | 2200779 | AETNA PROVIDER ID |
| Florida | MEDICAID | 261302600 | AETNA PROVIDER ID |
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