Individual
DR. MARIE LYNNE DERUYTER
Active
Individual
DR. MARIE LYNNE DERUYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME62548
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME62548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050030329
RAILROAD MEDICARE
FL
01
—
25484
BLUECROSS/BLUESHIELD
FL
05
—
261226700
—
FL
Enumeration date
10/01/2005
Last updated
09/02/2020
Update your record
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