Individual
DR. JUSTIN TRAVIS DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2118 SW 20TH PL STE 102, OCALA, FL 34471-0869
(352) 647-9700
(352) 525-4994
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME128828
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME128828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018600600
—
FL
Enumeration date
05/11/2011
Last updated
07/02/2025
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