Individual
AMIE G DEUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4555 EMERSON ST, JACKSONVILLE, FL 32207-4966
(904) 633-0797
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
205136
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067421
—
MA
01
—
J27668
BCBS
MA
Enumeration date
04/05/2006
Last updated
07/31/2015
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