Mederos-Lezcano, Mirta M.

Mederos-Lezcano, Mirta M. is an individual health care provider with primary practice located at 7700 W Sunrise Blvd # 200 , Plantation FL 33322-4113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Mederos-Lezcano, Mirta M. can be contacted via phone (954) 838-2371.

Contact Information

Primary practice address
7700 W Sunrise Blvd # 200 Plantation FL 33322-4113
Phone: (954) 838-2371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME64316 Florida

Profile Details

NPI number 1164495289
LBN Legal business name Mederos-Lezcano, Mirta M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164495289 NPPES
Florida MEDICAID 262363300

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