Individual
DEREK ANTHONY BEDAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1839 CENTRAL AVENUE, ST PETERSBURG, FL 33713-8900
(727) 322-1054
(727) 821-7213
Mailing address
1839 CENTRAL AVENUE, ST PETERSBURG, FL 33713-8900
(727) 322-1054
(727) 821-7213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115440200
—
FL
01
—
7YRIN
BCBS
FL
Enumeration date
08/02/2022
Last updated
05/24/2024
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