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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1710987300 NPPES
Florida Other 2548084 AETNA PROVIDER ID
Florida Other 2200779 AETNA PROVIDER ID
Florida MEDICAID 261302600 AETNA PROVIDER ID

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