Individual
DR. GERALD R DEPUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2504 CRILL AVE, PALATKA, FL 32177-4264
(386) 328-5141
(386) 328-3972
Mailing address
2504 CRILL AVE, PALATKA, FL 32177-4264
(386) 328-5141
(386) 328-3972
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078649700
—
FL
01
—
20241
BCBS
FL
Enumeration date
02/08/2006
Last updated
10/17/2013
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