Individual
DR. JEFFREY A. DEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3451 TECHNOLOGICAL AVE, ORLANDO, FL 32817-8353
(407) 380-8705
(407) 643-2804
Mailing address
3451 TECHNOLOGICAL AVE, ORLANDO, FL 32817-8353
(407) 380-8705
(407) 643-2804
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME0064807
FL
207XS0106X
Orthopaedic Hand Surgery Physician
ME0064807
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME64807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200030019
RAILROAD
FL
01
—
23420
BC/BS
FL
05
—
373585100
—
FL
Enumeration date
07/14/2005
Last updated
11/03/2020
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