Individual
DR. DOUGLAS F DEORCHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 447-9341
(561) 447-9352
Mailing address
951 NW 13TH ST, BOCA RATON, FL 33486-2359
(561) 447-9341
(561) 447-9352
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7764
RI
2085R0204X
Vascular & Interventional Radiology Physician
102404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000281500
—
FL
01
—
62199
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
01
—
P00786877
RAILROAD MEDICARE
FL
Enumeration date
10/13/2005
Last updated
09/24/2013
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