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Organization

BRIAN J.DEONARINE, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN J DEONARINE MD (PHYSICIAN)
(772) 562-9923
Entity
Organization

Contact information

Practice address
1285 36TH ST, SUITE 200, VERO BEACH, FL 32960-4885
(772) 562-9923
(877) 635-0804
Mailing address
1285 36TH ST, SUITE 200, VERO BEACH, FL 32960-4885
(772) 562-9923
(877) 635-0804

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0072762
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060055374
MEDICARE RAILROAD
FL
01
38042
BC/BS
FL
Enumeration date
08/11/2011
Last updated
12/07/2012
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