Padilla, Deidre M
Padilla, Deidre M is an individual health care provider with primary practice located at 901 Douglas Ave Ste 205 , Altamonte Springs FL 32714-2057. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Padilla, Deidre M can be contacted via phone (407) 703-5959.Contact Information
Primary practice address
901 Douglas Ave Ste 205
Altamonte Springs FL 32714-2057
Phone: (407) 703-5959
Fax: (407) 814-3863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1841563640 |
|---|---|
| LBN Legal business name | Padilla, Deidre M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2012 |
| Last updated | Feb 10th, 2012 - about 12 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 | 1841563640 | NPPES |
| Florida | MEDICAID | 003564600 |
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