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Organization
NORTH COUNTY MEDICAL LLC
Active
Organization
NORTH COUNTY MEDICAL LLC
Active
Other names
North County Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DEPUTRON D.O. (PARTNER)
(772) 581-6900
Entity
Organization
Contact information
Practice address
13838 US HIGHWAY 1, SEBASTIAN, FL 32958-3296
(772) 581-6900
(772) 581-3395
Mailing address
PO BOX 220, ROSELAND, FL 32957-0220
(772) 581-6900
(772) 581-3395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1390193
BCBS PA
PA
01
—
45938
BCBS FLORID
FL
01
—
622483
TRIGON
FL
Enumeration date
09/11/2006
Last updated
08/22/2020
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