Obed, Jerome R
Obed, Jerome R is an sole proprietor health care provider with primary practice located at 500 Se 15Th St Suite #108, Fort Lauderdale FL 33316-1952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Obed, Jerome R can be contacted via phone (954) 990-6591.Contact Information
Primary practice address
500 Se 15Th St Suite #108
Fort Lauderdale FL 33316-1952
Phone: (954) 990-6591
Fax: (954) 990-6524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS9463 | Florida |
Profile Details
| NPI number | 1720055585 |
|---|---|
| LBN Legal business name | Obed, Jerome R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Aug 20th, 2016 - about 9 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 | 1720055585 | NPPES |
| Florida | Other | OS 9463 | MEDICAL LICENSE |
| Florida | MEDICAID | 274900900 | MEDICAL LICENSE |
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