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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1720055585 NPPES
Florida Other OS 9463 MEDICAL LICENSE
Florida MEDICAID 274900900 MEDICAL LICENSE

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