Mcdermott, Sioban Pauline
Mcdermott, Sioban Pauline is an individual health care provider with primary practice located at 101 E Florida Ave , Melbourne FL 32901-8301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mcdermott, Sioban Pauline can be contacted via phone (321) 984-4600.Contact Information
Primary practice address
101 E Florida Ave
Melbourne FL 32901-8301
Phone: (321) 984-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME83950 | Florida |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 201799 | New York |
Profile Details
| NPI number | 1578568549 |
|---|---|
| LBN Legal business name | Mcdermott, Sioban Pauline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Sep 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 | 1578568549 | NPPES |
| Florida | MEDICAID | 274318300 | |
| Florida | MEDICAID | 01692704 |
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