Vandevar, Marjan

Vandevar, Marjan is an sole proprietor health care provider with primary practice located at 315 Se 13Th St , Ft Lauderdale FL 33316-1923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Vandevar, Marjan can be contacted via phone (954) 767-5900.

Contact Information

Primary practice address
315 Se 13Th St Ft Lauderdale FL 33316-1923
Phone: (954) 767-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X UO2056 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X OS12532 Florida

Profile Details

NPI number 1861759862
LBN Legal business name Vandevar, Marjan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2012
Last updated Jun 27th, 2021 - about 5 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 1861759862 NPPES
Florida MEDICAID 010750300

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