Search › Florida › 1710I1003X
Audrey Dericho
NPI 1700669850 · on the registry since 2023 · sole proprietor
Practice
- Address
- 15131 Tyler St
Miami, FL 33176 - Phone
- (786) 205-5491
Registry record
- Primary taxonomy
- 1710I1003X
1710I1003X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida