Individual
PARESHKUMAR G DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3264 W AUDUBON PARK PATH, LECANTO, FL 34461-8450
(352) 628-7671
(352) 628-9893
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
(352) 391-6498
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0044157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048743100
—
FL
01
—
09071
BLUE SHIELD FL
FL
01
—
340016073
MEDICARE RAILROAD
FL
01
—
591942276001
CHAMPUS
FL
Enumeration date
02/08/2006
Last updated
06/10/2021
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