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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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