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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821089301 | NPPES |
| Florida | Other | P01678917 | RRMR |
| Florida | Other | 05593X | RRMR |
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