Individual
DR. DEEPA BOGLE VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3165 N MCMULLEN BOOTH RD STE D-2, CLEARWATER, FL 33761-2020
(727) 754-2936
(277) 542-9377
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME95465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280773400
—
FL
01
—
P00673371
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
01/22/2007
Last updated
04/21/2020
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