Individual
DR. ADRIANUS J DERUIJTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1427 OAKFIELD DR, BRANDON, FL 33511-2801
(813) 685-0500
(813) 681-8675
Mailing address
224 S. MOON AVENUE, BRANDON, FL 33511
(813) 685-0500
(813) 681-8675
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0058569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056277700
—
FL
01
—
11396
BCBS PROVIDER NUMBER
FL
Enumeration date
11/17/2006
Last updated
05/25/2016
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