Individual
DR. DEREK BRADY COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-0371
(352) 265-0301
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME123807
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017818800
—
FL
Enumeration date
05/04/2011
Last updated
01/12/2022
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