Individual
ARMEN ROBERT DEUKMEDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2590 HEALING WAY STE 310, WESLEY CHAPEL, FL 33543-5497
(813) 333-1186
(844) 691-5928
Mailing address
2653 BRUCE B DOWNS BLVD # 108168, WESLEY CHAPEL, FL 33544-9206
(813) 997-2099
(813) 280-6193
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME110299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012447600
—
FL
01
—
14V46
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/15/2007
Last updated
03/08/2021
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