MARY FRANCES DEDMON ARNP NPI 1376678748

Nurse Practitioner (Primary Care) in Fort Lauderdale, FL

Individual Female Nurse Practitioner Primary Care

About MARY DEDMON

Mary Dedmon is a provider established in Fort Lauderdale, Florida and her medical specialization is nurse practitioner. The NPI number of Mary Dedmon is 1376678748 and was assigned on February 2007. The practitioner's primary taxonomy code is 363LP2300X with license number ARNP1144052 (FL). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI

1376678748

Provider Name MARY FRANCES DEDMON ARNP
Provider Location Address780 SW 24TH ST MEDICAL ADMINISTRATION FORT LAUDERDALE, FL 33315
Provider Mailing Address780 SW 24TH ST FORT LAUDERDALE, FL 33315
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-23-2007
Last Update Date01-28-2013

Primary Taxonomy

Taxonomy Code363LP2300X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPrimary Care
License No.ARNP1144052
License StateFL

Business Address

MARY FRANCES DEDMON ARNP
780 SW 24TH ST
MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL
ZIP 33315
Phone: (954) 467-4822

Get Directions

Mailing Address

MARY FRANCES DEDMON ARNP
780 SW 24TH ST
FORT LAUDERDALE, FL
ZIP 33315
Phone:

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3044262-00MEDICAID (05)FL
E4982ZMEDICARE ID-TYPE UNSPECIFIED (04)FL

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003000373BROWARD COUNTY DEPARTMENT OF HEALTH
Organization
Public Health or Welfare780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4771
1003885765DR. PAULA MICHELE THAQI M.D.
Individual
Pediatrics780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4700
1033363643 DIANA A LYNCH ARNP
Individual
Nurse Practitioner (Women's Health)780 SW 24TH ST MEDICAL ADMINSTRATION
FORT LAUDERDALE, FL 33315
(954) 467-4822
1063536340DR. MANAL F MESSIHA DDS
Individual
Dentist (Dental Public Health)780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4842
1104911205 JOHN RUSSELL LIVENGOOD M.D.
Individual
Pediatrics780 SW 24TH ST MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL 33315
(954) 467-4822
1114062189 RACHEL ELIZABETH LAROCHELLE ARNP
Individual
Nurse Practitioner (Women's Health)780 SW 24TH ST MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL 33315
(954) 467-4822
1255584231 EVRIL J PARRIS ARNP
Individual
Nurse Practitioner (Women's Health)780 SW 24TH ST MEDICAL ADMINSITRATION
FORT LAUDERDALE, FL 33315
(954) 467-4700
1306944129DR. MICHELLE L JOHNSON
Individual
Family Medicine780 SW 24TH ST MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL 33315
(954) 467-4822
1477031771DR. SUPRIYA NARANG D.M.D
Individual
Dentist (General Practice)780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4700
1598882813DR. PERMINDER WADHWA DDS
Individual
Dentist (Dental Public Health)780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4842
1598959850BROWARD COUNTY DEPARTMENT OF HEALTH
Organization
Public Health or Welfare780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4771
1629180724 KIRSTEN WONN RD/LDN
Individual
Dietitian, Registered780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 762-3651
1669666574BROWARD COUNTY DEPARTMENT OF HEALTH
Organization
Public Health or Welfare780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4771
1740474014BROWARD COUNTY DEPARTMENT OF HEALTH
Organization
Public Health or Welfare780 SW 24TH ST
FT LAUDERDALE, FL 33315
(954) 467-4771
1780879395BROWARD COUNTY DEPARTMENT OF HEALTH
Organization
Public Health or Welfare780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4771
1841485422BROWARD COUNTY DEPARTMENT OF HEALTH
Organization
Public Health or Welfare780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4771
1851419329DR. SHEFALI SHARMA DMD
Individual
Dentist (Dental Public Health)780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4842
1952595225BROWARD COUNTY DEPARTMENT OF HEALTH
Organization
Public Health or Welfare780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4771
1952595860BROWARD COUNTY DEPARTMENT OF HEALTH
Organization
Public Health or Welfare780 SW 24TH ST
FORT LAUDERDALE, FL 33315
(954) 467-4771

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.