Individual
JEGADEES DEVANESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 983-5026
(863) 983-2973
Mailing address
540 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 983-5026
(863) 983-2973
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME35369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000353300
—
FL
Enumeration date
07/27/2006
Last updated
10/18/2012
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