Individual
DR. DEEPA TANEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7485 SANDLAKE COMMONS BLVD, ORLANDO, FL 32819-8034
(407) 574-5161
(407) 574-2633
Mailing address
PO BOX 691045, ORLANDO, FL 32869-1045
(407) 574-5161
(407) 574-2633
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME108647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004153800
—
FL
Enumeration date
07/11/2008
Last updated
06/23/2022
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