Flaherty, John

Flaherty, John is an individual health care provider with primary practice located at 1855 Knox Mcrae Dr , Titusville FL 32780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Flaherty, John can be contacted via phone (321) 269-2028.

Contact Information

Primary practice address
1855 Knox Mcrae Dr Titusville FL 32780
Phone: (321) 269-2028
Fax: (321) 264-0730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME47149 Florida

Profile Details

NPI number 1821089301
LBN Legal business name Flaherty, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 31st, 2017 - about 7 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 1821089301 NPPES
Florida Other P01678917 RRMR
Florida Other 05593X RRMR

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