Heriot, Jody L.

Heriot, Jody L. is an individual health care provider with primary practice located at 4725 N. Federal Highway , Fort Lauderdale FL 33308-4603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Heriot, Jody L. can be contacted via phone (954) 771-8000.

Contact Information

Primary practice address
4725 N. Federal Highway Fort Lauderdale FL 33308-4603
Phone: (954) 771-8000
Fax: (954) 776-3270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP927462 Florida

Profile Details

NPI number 1730152919
LBN Legal business name Heriot, Jody L.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Aug 28th, 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 1730152919 NPPES
Florida Other G1492 BLUE CROSS BLUE SHIELD
Florida MEDICAID 306481600 BLUE CROSS BLUE SHIELD
Florida Other G1492 BLUE CROSS BLUE SHIELD

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