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Individual

ARA JASON DEUKMEDJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7955 SPYGLASS HILL RD STE A, MELBOURNE, FL 32940-8249
(321) 255-6670
(321) 242-2545
Mailing address
7955 SPYGLASS HILL RD STE A, MELBOURNE, FL 32940-8249
(321) 255-6670
(321) 242-2545

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME82061
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269771800
FL
01
2921108001
CIGNA
FL
01
3612958
AETNA HMO
FL
01
37913
BLUE CROSS BLUE SHIELD
FL
01
611936100
DEPT OF LABOR (WC)
FL
01
7505598
AETNA
FL
01
P00141641
MEDICARD RAILROAD
FL
Enumeration date
09/01/2006
Last updated
01/22/2026
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