Individual
DR. DEVYANI N DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1835 GILMORE AVE, LAKELAND, FL 33805-3017
(863) 248-3300
(863) 413-3083
Mailing address
320 DEBUEL RD, LUTZ, FL 33549-5444
(813) 404-7980
(863) 413-3083
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301047811
MI
2084P0800X
Psychiatry Physician
Primary
ME54873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057537200
—
FL
01
—
14238
BLUE CROSS BLUE SHIELD
FL
05
—
1558354175
—
MI
Enumeration date
08/30/2005
Last updated
05/20/2016
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