Individual
DR. CHITRADEEP DE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3028 CARING WAY UNIT 4, PORT CHARLOTTE, FL 33952-5300
(941) 212-2748
(941) 328-8946
Mailing address
PO BOX 494127, PORT CHARLOTTE, FL 33949-4127
(941) 212-2748
(941) 328-8946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME125650
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME125650
FL
Other
Enumeration date
12/09/2008
Last updated
02/05/2024
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