Mcdermott, Sioban Pauline

Mcdermott, Sioban Pauline is an individual health care provider with primary practice located at 101 E Florida Ave , Melbourne FL 32901-8301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mcdermott, Sioban Pauline can be contacted via phone (321) 984-4600.

Contact Information

Primary practice address
101 E Florida Ave Melbourne FL 32901-8301
Fax:
Website:

Health care specialties

Profile Details

NPI number 1578568549
LBN Legal business name Mcdermott, Sioban Pauline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 7th, 2023 - about 2 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 1578568549 NPPES
Florida MEDICAID 274318300
Florida MEDICAID 01692704

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