Organization
A E DEEB MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AL ELIAS DEEB M.D. (OWNER)
(850) 877-6324
Entity
Organization
Contact information
Practice address
1630 N PLAZA DR, TALLAHASSEE, FL 32308-5346
(850) 877-6324
Mailing address
1630 N PLAZA DR, TALLAHASSEE, FL 32308-5346
(850) 877-6324
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00145274A
GEORGIA MCD ID
GA
Enumeration date
05/10/2007
Last updated
03/26/2008
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