Provider Demographics
NPI:1730941824
Name:CEDERET SERVICES LLC
Entity type:Organization
Organization Name:CEDERET SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:PEREZ VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-813-1053
Mailing Address - Street 1:6901 CYPRESS RD APT C12
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2373
Mailing Address - Country:US
Mailing Address - Phone:786-813-1053
Mailing Address - Fax:954-206-4456
Practice Address - Street 1:6901 CYPRESS RD APT C12
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2373
Practice Address - Country:US
Practice Address - Phone:786-813-1053
Practice Address - Fax:954-206-4456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health