Individual
DAVID DEPUTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13836 US HIGHWAY 1, SEBASTIAN, FL 32958-3296
(772) 581-6900
(772) 589-6995
Mailing address
13838 US HIGHWAY 1, SEBASTIAN, FL 32958-3296
(772) 581-6900
(772) 589-6995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS 3229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110228924
RAILROAD MEDICARE
FL
01
—
80186
FLORIDA BLUE SHIELD
FL
Enumeration date
04/17/2006
Last updated
06/10/2012
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