Deruijter, Adrianus J

Deruijter, Adrianus J is an sole proprietor health care provider with primary practice located at 1427 Oakfield Dr , Brandon FL 33511-2801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Deruijter, Adrianus J can be contacted via phone (813) 685-0500.

Contact Information

Primary practice address
1427 Oakfield Dr Brandon FL 33511-2801
Fax: (813) 681-8675
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0058569 Florida

Profile Details

NPI number 1144394800
LBN Legal business name Deruijter, Adrianus J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated May 25th, 2016 - about 9 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 1144394800 NPPES
Florida MEDICAID 056277700
Florida Other 11396

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