Mederos, Heidi
Mederos, Heidi is an individual health care provider with primary practice located at 100 Nw 82Nd Ave Ste 101 , Plantation FL 33324-1834. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Mederos, Heidi can be contacted via phone (954) 358-4260.Contact Information
Primary practice address
100 Nw 82Nd Ave Ste 101
Plantation FL 33324-1834
Phone: (954) 358-4260
Fax: (954) 323-2600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN22759 | Florida |
Profile Details
| NPI number | 1669994372 |
|---|---|
| LBN Legal business name | Mederos, Heidi |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2017 |
| Last updated | Aug 18th, 2021 - about 3 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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