Individual
DR. DIPESH DERAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2415 UNIVERSITY PKWY STE 111, SARASOTA, FL 34243-2809
(941) 359-3337
(941) 359-1583
Mailing address
700 8TH AVE W STE 101, PALMETTO, FL 34221-4737
(941) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME115215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008739600
—
FL
Enumeration date
09/24/2009
Last updated
02/22/2019
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