Pedersen, Richard Waldemar

Pedersen, Richard Waldemar is an sole proprietor health care provider with primary practice located at 2120 N 57Th Way , Hollywood FL 33021-3827. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Pedersen, Richard Waldemar can be contacted via phone (954) 966-0721.

Contact Information

Primary practice address
2120 N 57Th Way Hollywood FL 33021-3827
Phone: (954) 966-0721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP 1449122 Florida

Profile Details

NPI number 1326359050
LBN Legal business name Pedersen, Richard Waldemar
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2010
Last updated Jun 2nd, 2011 - about 13 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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