Individual provider · Type 1 NPI

Audrey Elaine Dericho

Independent Duty Medical Technicians · Miami, FL

NPI number 1700669850 Active

Practice location

15131 Tyler St
Miami, FL 33176-7644

Mailing address

10905 SW 214th St Apt 102
Miami, FL 33189-3093

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians Primary 1710I1003XNone listed

Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …

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About NPI 1700669850

Audrey Elaine Dericho's National Provider Identifier is 1700669850, issued on Aug 14, 2023. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Miami, FL. The record was last updated on Aug 14, 2023.