Friend, Desirae
Friend, Desirae is an individual health care provider with primary practice located at 755 Rinehart Rd , Lake Mary FL 32746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Friend, Desirae can be contacted via phone (407) 320-8100.Contact Information
Primary practice address
755 Rinehart Rd
Lake Mary FL 32746
Phone: (407) 320-8100
Fax: (407) 320-8110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS15979 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0536749 | Kansas |
Profile Details
| NPI number | 1447512199 |
|---|---|
| LBN Legal business name | Friend, Desirae |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2012 |
| Last updated | Sep 13th, 2019 - about 7 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 | 1447512199 | NPPES |
| Kansas | MEDICAID | 201128020B |
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