Fedor, Maria

Fedor, Maria is an individual health care provider with primary practice located at 200 Nw 7Th Ave Phoenix Emergency Medicine Of Broward, Ft Lauderdale FL 33311-9026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fedor, Maria can be contacted via phone (954) 759-6793.

Contact Information

Primary practice address
200 Nw 7Th Ave Phoenix Emergency Medicine Of Broward Ft Lauderdale FL 33311-9026
Phone: (954) 759-6793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME56611 Florida

Profile Details

NPI number 1215926670
LBN Legal business name Fedor, Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated May 13th, 2008 - about 18 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 1215926670 NPPES
Florida MEDICAID 370912499

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