Individual
MIKHAIL DEPUTAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 867-8311
(352) 622-5771
Mailing address
150 SE 17TH ST, OCALA, FL 34471-5178
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME86601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266236100
—
FL
01
—
62974
BCBS FL
FL
Enumeration date
06/25/2006
Last updated
03/22/2019
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