Individual
DR. FREDDY CYRIAQUE DESORMEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(352) 291-5555
(352) 291-5582
Mailing address
2011 SE 25TH ST, OCALA, FL 34471-6093
(917) 778-9123
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME141711
FL
2084P0800X
Psychiatry Physician
P36279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106100900
—
FL
01
—
MA353
MEDICARE
FL
Enumeration date
11/29/2006
Last updated
07/21/2020
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