Pereda, Maidelyn

Pereda, Maidelyn is an sole proprietor health care provider with primary practice located at 7245 Sw 16 Ter. , Miami FL 33155. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Pereda, Maidelyn can be contacted via phone (786) 267-2838.

Contact Information

Primary practice address
7245 Sw 16 Ter. Miami FL 33155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Florida

Profile Details

NPI number 1255581864
LBN Legal business name Pereda, Maidelyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2008
Last updated Sep 19th, 2008 - about 16 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 1255581864 NPPES
Florida MEDICAID APPLYING FOR

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