Individual
DEREJE YIDEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 LAKE AMBERLEIGH DR, WINTER GARDEN, FL 34787-5250
(813) 522-9895
(813) 522-9895
Mailing address
309 LAKE AMBERLEIGH DR, WINTER GARDEN, FL 34787-5250
(813) 522-9895
(813) 522-9895
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
FL
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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