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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1164495289 | NPPES |
| Florida | MEDICAID | 262363300 |
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