Wiederhold, Michael Sullivan

Wiederhold, Michael Sullivan is an sole proprietor health care provider with primary practice located at 900 Hope Way , Altamonte Springs FL 32714-1502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wiederhold, Michael Sullivan can be contacted via phone (407) 357-1000.

Contact Information

Primary practice address
900 Hope Way Altamonte Springs FL 32714-1502
Phone: (407) 357-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0111708 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-6152 Arkansas

Profile Details

NPI number 1013137694
LBN Legal business name Wiederhold, Michael Sullivan
Credentials M.D., M.P.H., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Apr 28th, 2016 - about 8 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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