Individual
DR. JOHN C DEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-6358
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-6358
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME82206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262762100
—
FL
Enumeration date
04/19/2006
Last updated
09/12/2014
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