Organization
BRIAN J.DEONARINE, MD PA
Active
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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