Individual
MARY FRANCES DEDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
780 SW 24TH ST, MEDICAL ADMINISTRATION, FORT LAUDERDALE, FL 33315-2643
(954) 467-4822
Mailing address
780 SW 24TH ST, FORT LAUDERDALE, FL 33315-2643
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP1144052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3044262-00
—
FL
Enumeration date
02/23/2007
Last updated
01/28/2013
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