Fernandez, Lidette Rebecca
Fernandez, Lidette Rebecca is an individual health care provider with primary practice located at 6447 Miami Lakes Dr Suite 105, Miami Lakes FL 33014-2741. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fernandez, Lidette Rebecca can be contacted via phone (786) 365-4834.Contact Information
Primary practice address
6447 Miami Lakes Dr Suite 105
Miami Lakes FL 33014-2741
Phone: (786) 365-4834
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 3958 | Florida |
Profile Details
| NPI number | 1316082886 |
|---|---|
| LBN Legal business name | Fernandez, Lidette Rebecca |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Oct 17th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316082886 | NPPES |
| Florida | MEDICAID | 889913400 |
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