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Individual

DEVENDRA N AMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2305 KENT PL, CLEARWATER, FL 33764-7526
(727) 286-2411
(727) 781-3312
Mailing address
2410 NORTHSIDE DR, CLEARWATER, FL 33761-2236
(727) 499-0356
(727) 781-3312

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME0057186
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME0057186
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
057861400
FL
01
P01027107
RR ,MEDICARE
FL
Enumeration date
11/10/2005
Last updated
07/21/2022
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