Moridi, Irene

Moridi, Irene is an sole proprietor health care provider with primary practice located at 1825 Kingsley Ave Ste 390 , Orange Park FL 32073-4484. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moridi, Irene can be contacted via phone (904) 639-2260.

Contact Information

Primary practice address
1825 Kingsley Ave Ste 390 Orange Park FL 32073-4484
Phone: (904) 639-2260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD210001941 District of Columbia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X T4559 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME161977 Florida

Profile Details

NPI number 1164955407
LBN Legal business name Moridi, Irene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2017
Last updated Mar 27th, 2024 - about 8 months 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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