Polydoroff, Fanny
Polydoroff, Fanny is an sole proprietor health care provider with primary practice located at 1201 N.W. 16Th Street , Miami FL 33125. She recently has only one registered license in Nursing Service Providers / Gastroenterology, which is considered as her primary health care specialty. Polydoroff, Fanny can be contacted via phone (305) 575-7000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Gastroenterology | 163WG0100X | 9224472 | Florida |
Profile Details
| NPI number | 1942705330 |
|---|---|
| LBN Legal business name | Polydoroff, Fanny |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2018 |
| Last updated | Mar 27th, 2018 - about 6 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 | 1942705330 | NPPES |
| Florida | Other | 2398983089 | JOB |
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