Individual
SURESHCHANDRA N. DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 468-5600
Mailing address
7956 PLANTATION LAKES DR, PORT ST LUCIE, FL 34986-3011
(772) 489-5852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME29225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371467-00
—
FL
Enumeration date
10/03/2006
Last updated
07/08/2007
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