# MIGUEL DEJUK, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457634263
- **Authorized official:** MIGUEL GAZEL DEJUK MD (OWNER)
- **Authorized official phone:** (386) 328-8668

## Contact information

- **Practice address:** 800 ZEAGLER DR STE 210, PALATKA, FL 32177-3827
- **Practice address phone:** (386) 328-8668
- **Practice address fax:** (386) 328-3767
- **Mailing address:** 800 ZEAGLER DR STE 210, PALATKA, FL 32177-3827
- **Mailing address phone:** (386) 328-8668
- **Mailing address fax:** (386) 328-3767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME 0055591 | FL | Yes |

## Other

- **Enumeration date:** 09/28/2011
- **Last updated:** 03/02/2012