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Individual

DR. ZACHARY DEUTCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4195
(904) 244-4908
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
213642
MA
207L00000X
Anesthesiology Physician
Primary
ME114861
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003134185A
GA
05
008760600
FL
05
0171760
MA
01
14P96
BCBS
FL
05
ZD46727
RI
Enumeration date
12/07/2005
Last updated
08/09/2013
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