Petrisko, Jerome J
Petrisko, Jerome J is an individual health care provider with primary practice located at 900 Ne 26Th Avenue 2Nd Floor, Fort Lauderdale FL 33304. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Petrisko, Jerome J can be contacted via phone (954) 566-4208.Contact Information
Primary practice address
900 Ne 26Th Avenue 2Nd Floor
Fort Lauderdale FL 33304
Phone: (954) 566-4208
Fax: (954) 566-5346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN6949 | Florida |
Profile Details
| NPI number | 1174708523 |
|---|---|
| LBN Legal business name | Petrisko, Jerome J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2008 |
| Last updated | Jan 4th, 2008 - 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.
Popular Providers
-
Mazzucco, Maria
200 Nw 7Th Ave , Fort Lauderdale FL 33311-9026 -
Browning, Brent Alan
1201 W Cypress Creek Rd , Fort Lauderdale FL 33309-1906 -
Zaslavsky, Max Andrew
6451 N Federal Hwy Ste. 129, Fort Lauderdale FL 33308-1402 -
Blum, Michael
648 Ne 3Rd Ave , Fort Lauderdale FL 33304-2618 -
Hernandez, Liliana Julia
1330 Se 4Th Ave Suite K, Fort Lauderdale FL 33316-1958 -
Fahey, Dana A
900 Ne 26Th Avenue 2Nd Floor, Fort Lauderdale FL 33304 -
Geronemus, Richard Jeff
2300 Ne 9Th St , Fort Lauderdale FL 33304-3523 -
Selmic, Nadezda
401 E Las Olas Blvd Suite #140, Fort Lauderdale FL 33301-2210