Payne, Derrick
Payne, Derrick is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 350, Daytona Beach FL 32114-2781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Payne, Derrick can be contacted via phone (386) 255-1266.Contact Information
Primary practice address
311 N Clyde Morris Blvd Suite 350
Daytona Beach FL 32114-2781
Phone: (386) 255-1266
Fax: (386) 255-8520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME0065671 | Florida |
Profile Details
| NPI number | 1871518464 |
|---|---|
| LBN Legal business name | Payne, Derrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1871518464 | NPPES |
| Florida | MEDICAID | 374869300 |
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