Rellahan, Mary C

Rellahan, Mary C is an individual health care provider with primary practice located at 2308 Greeside Court , Ponte Vedra Beach FL 32082-3700. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Rellahan, Mary C can be contacted via phone (904) 373-0981.

Contact Information

Primary practice address
2308 Greeside Court Ponte Vedra Beach FL 32082-3700
Phone: (904) 373-0981
Fax: (904) 373-0981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2236 Florida

Profile Details

NPI number 1821121120
LBN Legal business name Rellahan, Mary C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jan 23rd, 2017 - about 9 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 1821121120 NPPES
Florida MEDICAID 059783000
Florida Other 65224

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