Mittleider, Derek

Mittleider, Derek is an individual health care provider with primary practice located at 2300 State Road 524 Ste 106 , Cocoa FL 32926-5894. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Mittleider, Derek can be contacted via phone (321) 321-3001.

Contact Information

Primary practice address
2300 State Road 524 Ste 106 Cocoa FL 32926-5894
Phone: (321) 321-3001
Fax: (321) 321-4001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME142152 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME14152 Florida

Profile Details

NPI number 1538234414
LBN Legal business name Mittleider, Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2006
Last updated Dec 15th, 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.

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