Lattimer, Derek
Lattimer, Derek is an sole proprietor health care provider with primary practice located at 2140 N Don Wickham Dr , Clermont FL 34711-1922. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Lattimer, Derek can be contacted via phone (352) 394-5922.Contact Information
Primary practice address
2140 N Don Wickham Dr
Clermont FL 34711-1922
Phone: (352) 394-5922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1144908492 |
|---|---|
| LBN Legal business name | Lattimer, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2023 |
| Last updated | Jul 7th, 2023 - about 3 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 | 1144908492 | NPPES |
| Florida | Other | MH22442 | STATE OF FLORIDA |
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