Matthew Dedrick, ARNP
Nurse Practitioner, Family in Mount Dora, FL. Individual provider (NPI-1).
NPI number1801304530
StatusActive
Last updated in NPPESFeb 9, 2018
Details
- NPI
- 1801304530
- Entity type
- Individual (NPI-1)
- Name
- Matthew Dedrick
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2018
- Last updated
- Feb 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP9383368 | FL | Yes |
| 363L00000X | Nurse Practitioner | ARNP9383368 | FL |
Practice location
18550 Us Highway 441Mount Dora, FL 32757-6751
Phone 352-735-3755 · Fax 352-735-3151
Mailing address
18550 Us Highway 441Mount Dora, FL 32757-6751
Phone 352-735-3755 · Fax 352-735-3151
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All 32 Family Nurse Practitioner providers in Mount Dora · All 974 providers in Mount Dora
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