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Individual

GEORGE DEGHEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1321 NW 14H ST, MIAMI, FL 33125
(305) 243-5554
Mailing address
1321 NW 14H ST, MIAMI, FL 33125
(305) 243-5554

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME137338
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
729513
FL
Enumeration date
08/03/2012
Last updated
11/05/2024
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