Individual
JOHN JEFFREY DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
206 2ND STREET E, EMERGENCY DEPARTMENT, BRADENTON, FL 34208
(941) 745-7564
Mailing address
403 MILL RUN E, BRADENTON, FL 34212-9193
(941) 724-0415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103719
FL
Other
Enumeration date
05/12/2006
Last updated
10/29/2012
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