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Individual

DEEKSHITA DAMIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
700 3RD ST STE 102, NEPTUNE BEACH, FL 32266-5082
(904) 246-7520
(904) 246-7527
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME149320
FL

Other

Enumeration date
04/04/2018
Last updated
08/18/2021
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