Middleton, Dorenda Mellyn
Middleton, Dorenda Mellyn is an sole proprietor health care provider with primary practice located at 547 Ne Lake Dr , Lake City FL 32055-3446. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified, which is considered as her primary health care specialty. Middleton, Dorenda Mellyn can be contacted via phone (386) 438-5493.Contact Information
Primary practice address
547 Ne Lake Dr
Lake City FL 32055-3446
Phone: (386) 438-5493
Fax: (386) 438-5493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified | 227800000X | TT003783 | Florida |
Profile Details
| NPI number | 1538285549 |
|---|---|
| LBN Legal business name | Middleton, Dorenda Mellyn |
| Credentials | Certified Respiratory Therapist (CRT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Aug 9th, 2013 - about 11 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 | 1538285549 | NPPES |
| Florida | MEDICAID | 005972000 |
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