Kee, Trisha Vanbrederode

Kee, Trisha Vanbrederode is an individual health care provider with primary practice located at 12276 San Jose Blvd Suite 507, Jacksonville FL 32223-8628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Kee, Trisha Vanbrederode can be contacted via phone (904) 288-8910.

Contact Information

Primary practice address
12276 San Jose Blvd Suite 507 Jacksonville FL 32223-8628
Phone: (904) 288-8910
Fax: (904) 288-8912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X NONE Florida

Profile Details

NPI number 1144429432
LBN Legal business name Kee, Trisha Vanbrederode
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated May 22nd, 2008 - about 17 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 1144429432 NPPES
Florida MEDICAID 812042100

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