Individual
MRS. DEEPALI AJITKUMAR BOBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1218 MILLENNIUM PARKWAY, BRANDON, FL 33511-3895
(813) 684-5255
(813) 654-7457
Mailing address
1218 MILLENNIUM PARKWAY, BRANDON, FL 33511-3895
(813) 684-5255
(813) 654-7457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME109472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003821600
—
FL
05
—
02927237
—
NY
05
—
1020386900001
—
PA
01
—
GU039851
MEDICARE GROUP
PA
Enumeration date
05/10/2007
Last updated
12/05/2014
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