Perdomo Diaz, Angel

Perdomo Diaz, Angel is an sole proprietor health care provider with primary practice located at 1001 W Cypress Creek Rd , Fort Lauderdale FL 33309-1900. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Perdomo Diaz, Angel can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
1001 W Cypress Creek Rd Fort Lauderdale FL 33309-1900
Phone: (855) 832-6727
Fax: (772) 675-9100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1043692338
LBN Legal business name Perdomo Diaz, Angel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2015
Last updated Dec 8th, 2015 - about 9 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 1043692338 NPPES
Florida MEDICAID 014934400

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