Muehrcke, Derek D
Muehrcke, Derek D is an individual health care provider with primary practice located at 300 Health Park Blvd Ste 5008 , St Augustine FL 32086-3705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Muehrcke, Derek D can be contacted via phone (904) 494-2394.Contact Information
Primary practice address
300 Health Park Blvd Ste 5008
St Augustine FL 32086-3705
Phone: (904) 494-2394
Fax: (904) 400-6676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME70163 | Florida |
Profile Details
| NPI number | 1568464774 |
|---|---|
| LBN Legal business name | Muehrcke, Derek D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Nov 22nd, 2022 - about 4 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 | 1568464774 | NPPES |
| Florida | MEDICAID | 250219400 | |
| Florida | Other | 780000716 |
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