Hall, Daylan Fredrick

Hall, Daylan Fredrick is an sole proprietor health care provider with primary practice located at 1320 Ne 200Th Ter , Miami FL 33179-5138. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Hall, Daylan Fredrick can be contacted via phone (305) 785-4864.

Contact Information

Primary practice address
1320 Ne 200Th Ter Miami FL 33179-5138
Phone: (305) 785-4864
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1710497326
LBN Legal business name Hall, Daylan Fredrick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2017
Last updated Oct 10th, 2017 - 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 1710497326 NPPES
Florida MEDICAID 687028
Florida Other 687028

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