Individual
DR. SUBRATO JESSE DEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PALM AVE, JACKSONVILLE, FL 32207-8432
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101050137
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
22983
WV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
29646
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0066694
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME142391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104455500
—
FL
05
—
200485610A
—
OK
Enumeration date
01/23/2006
Last updated
06/09/2025
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