Fiedler, Lawrence Michael

Fiedler, Lawrence Michael is an individual health care provider with primary practice located at 2300 Glades Rd Suite 201E, Boca Raton FL 33431-7386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fiedler, Lawrence Michael can be contacted via phone (561) 208-2121.

Contact Information

Primary practice address
2300 Glades Rd Suite 201E Boca Raton FL 33431-7386
Fax: (561) 393-1729
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME 80130 Florida

Profile Details

NPI number 1932135803
LBN Legal business name Fiedler, Lawrence Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 10th, 2012 - 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 1932135803 NPPES
Florida MEDICAID 266474700

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