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Organization

VILAS DESHPANDE M.D., PA

Active
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Organization

VILAS DESHPANDE M.D., PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VILAS DESHPANDE M.D. (PRESIDENT)
(727) 528-0815
Entity
Organization

Contact information

Practice address
5880 49TH ST N, SUITE 101-N, ST PETERSBURG, FL 33709-2150
(727) 528-0815
(727) 528-1724
Mailing address
5880 49TH ST N, SUITE 101-N, ST PETERSBURG, FL 33709-2150
(727) 528-0815
(727) 528-1724

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0050528
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250630100
FL
Enumeration date
08/22/2008
Last updated
08/22/2008
About Stedi
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  • EDI platform