Medzerian, George

Medzerian, George is an sole proprietor health care provider with primary practice located at 850 Nw Federal Hwy # 114 , Stuart FL 34994-1019. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Medzerian, George can be contacted via phone (772) 283-0013.

Contact Information

Primary practice address
850 Nw Federal Hwy # 114 Stuart FL 34994-1019
Fax: (772) 403-5817
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0003086 Florida

Profile Details

NPI number 1134284920
LBN Legal business name Medzerian, George
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Dec 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134284920 NPPES
Other 215000 PHCS
Other 5371572 PHCS
Other 089002 PHCS

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