Vandevelde, John Daniel

Vandevelde, John Daniel is an sole proprietor health care provider with primary practice located at 1261 Viscaya Pkwy Ste 101 , Cape Coral FL 33990-3252. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Vandevelde, John Daniel can be contacted via phone (239) 573-7337.

Contact Information

Primary practice address
1261 Viscaya Pkwy Ste 101 Cape Coral FL 33990-3252
Phone: (239) 573-7337
Fax: (239) 574-5883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP 9455776 Florida

Profile Details

NPI number 1922089804
LBN Legal business name Vandevelde, John Daniel
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Aug 25th, 2020 - about 6 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 1922089804 NPPES
Florida Other BMBUO FLORIDA BLUE
Florida MEDICAID 020729900 FLORIDA BLUE

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