Baldera, Deyanira
Baldera, Deyanira is an sole proprietor health care provider with primary practice located at 1515 N University Dr Ste 102A , Coral Springs FL 33071-6083. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Baldera, Deyanira can be contacted via phone (718) 872-8456.Contact Information
Primary practice address
1515 N University Dr Ste 102A
Coral Springs FL 33071-6083
Phone: (718) 872-8456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 13131 | Florida |
Profile Details
| NPI number | 1497110985 |
|---|---|
| LBN Legal business name | Baldera, Deyanira |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2015 |
| Last updated | Jan 18th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497110985 | NPPES |
| Florida | MEDICAID | 13131 |
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