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Individual

DR. BRIAN J DEONARINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1285 36TH STREET, SUITE 200, VERO BEACH, FL 32960-6588
(772) 562-9923
(877) 635-0804
Mailing address
1285 36TH STREET, SUITE 200, VERO BEACH, FL 32960-6588
(772) 562-9923
(877) 635-0804

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0072762
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060055374
RAILROAD MEDICARE
01
10731790
CAQH
FL
01
38042
BLUE CROSS BLUE SHIELD
Enumeration date
03/01/2006
Last updated
11/27/2012
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