Individual
DR. ANIL DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6696 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-1423
(772) 466-6651
(772) 466-0662
Mailing address
PO BOX 881016, FORT PIERCE, FL 34988-1016
(772) 466-6651
(772) 466-0662
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME46694
FL
207ZH0000X
Hematology (Pathology) Physician
ME46694
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME46694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252482100
—
FL
01
—
41580
BLUE CROSS
FL
Enumeration date
07/12/2006
Last updated
10/07/2015
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