Organization
ARTHUR J DEBAISE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR J DEBAISE M D (OWNER)
(407) 539-3455
Entity
Organization
Contact information
Practice address
320 EDINBURGH DR, SUITE A, WINTER PARK, FL 32792-4157
(407) 539-3455
(407) 539-3481
Mailing address
320 EDINBURGH DRIVE, SUITE A, WINTER PARK, FL 32792
(407) 539-3455
(407) 539-3481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0057231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379448200
—
FL
Enumeration date
03/24/2009
Last updated
05/13/2009
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