Verla, Mariatu A

Verla, Mariatu A is an individual health care provider with primary practice located at 1330 Budinger Ave Ste 206 , Saint Cloud FL 34769-4123. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Verla, Mariatu A can be contacted via phone (407) 498-3763.

Contact Information

Primary practice address
1330 Budinger Ave Ste 206 Saint Cloud FL 34769-4123
Phone: (407) 498-3763
Fax: (407) 498-3793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X R5949 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X ME157946 Florida

Profile Details

NPI number 1013303551
LBN Legal business name Verla, Mariatu A
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2015
Last updated Oct 7th, 2022 - about 2 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 1013303551 NPPES
Florida MEDICAID 115207100

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