Vander Heyden, Anita Renee

Vander Heyden, Anita Renee is an sole proprietor health care provider with primary practice located at 1317 Mandarin Isle , Ft Lauderdale FL 33315-1648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Vander Heyden, Anita Renee can be contacted via phone (954) 524-7247.

Contact Information

Primary practice address
1317 Mandarin Isle Ft Lauderdale FL 33315-1648
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME45975 Florida

Profile Details

NPI number 1366431546
LBN Legal business name Vander Heyden, Anita Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated May 15th, 2008 - about 18 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 1366431546 NPPES
Florida MEDICAID 048287100

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