Dermenjian, Laura Erika

Dermenjian, Laura Erika is an individual health care provider with primary practice located at 1950 Laurel Manor Dr Ste 224, The Villages FL 32162. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dermenjian, Laura Erika can be contacted via phone (352) 751-6565.

Contact Information

Primary practice address
1950 Laurel Manor Dr Ste 224 The Villages FL 32162
Phone: (352) 751-6565
Fax: (352) 205-7777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101262 Florida

Profile Details

NPI number 1255316907
LBN Legal business name Dermenjian, Laura Erika
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Aug 18th, 2020 - about 6 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 1255316907 NPPES
Florida MEDICAID 290911100

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