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VAIL LEE DEWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1210 US HIGHWAY 27 N, LAKE PLACID, FL 33852-7948
(863) 699-4372
Mailing address
39650 US HWY 19 N, @241, TARPON SPRINGS, FL 34689
(727) 942-7920

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME93083
FL

Other

Enumeration date
05/27/2006
Last updated
09/05/2008
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