Bermudez, Marisa
Bermudez, Marisa is an individual health care provider with primary practice located at 12499 Brantley Commons Ct Ste 101 , Fort Myers FL 33907-5694. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bermudez, Marisa can be contacted via phone (239) 278-3443.Contact Information
Primary practice address
12499 Brantley Commons Ct Ste 101
Fort Myers FL 33907-5694
Phone: (239) 278-3443
Fax: (239) 278-3550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY10455 | Florida |
Profile Details
| NPI number | 1013460823 |
|---|---|
| LBN Legal business name | Bermudez, Marisa |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2016 |
| Last updated | Jul 12th, 2019 - about 7 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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