Desiree Alexandra Aanonsen Irizarry
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ft Lauderdale, FL
NPI 1679355424 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1679355424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3300 S University Dr
Ft Lauderdale, FL 33328-2004 - Phone
- (800) 541-6682
- NPI assigned
- Oct 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3300 S University Dr
Ft Lauderdale, FL 33328-2004
Mailing address
2860 SW 75TH Way Apt 2304
Davie, FL 33314-1033
Phone (939) 238-6500
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All providers in Ft Lauderdale, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.