Individual
MR. LAITH DERBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 917-5000
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016018870
MO
207RC0000X
Cardiovascular Disease Physician
036.152637
IL
207RI0011X
Interventional Cardiology Physician
Primary
ME171551
FL
Other
Enumeration date
05/10/2016
Last updated
08/04/2025
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