Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Audrey Elaine Dericho

Individual provider Independent Duty Medical Technicians · NPI 1700669850

MS. Audrey Elaine Dericho is an Independent Duty Medical Technicians in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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Practice location Address checks out

15131 Tyler St
Miami, FL 33176-7644
Phone: (786) 205-5491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X (FL)

Record details

NPI number1700669850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

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