Opdyke, Corie

Opdyke, Corie is an individual health care provider with primary practice located at 9120A Wiles Rd , Coral Springs FL 33067-1993. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Opdyke, Corie can be contacted via phone (954) 341-0074.

Contact Information

Primary practice address
9120A Wiles Rd Coral Springs FL 33067-1993
Phone: (954) 341-0074
Fax: (954) 345-3474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN3075092 Florida

Profile Details

NPI number 1700875523
LBN Legal business name Opdyke, Corie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Nov 6th, 2018 - about 6 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 1700875523 NPPES
Florida MEDICAID 303573500

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