Clunis, Derrick Oliver

Clunis, Derrick Oliver is an individual health care provider with primary practice located at 13535 Nemours Pkwy Nemours Childrens Hospital, Orlando FL 32827-7402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Clunis, Derrick Oliver can be contacted via phone (407) 567-4000.

Contact Information

Primary practice address
13535 Nemours Pkwy Nemours Childrens Hospital Orlando FL 32827-7402
Phone: (407) 567-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78560 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME78560 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2021012259 Missouri

Profile Details

NPI number 1407832579
LBN Legal business name Clunis, Derrick Oliver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jul 7th, 2021 - about 5 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 1407832579 NPPES
Florida MEDICAID 257755100

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