Individual
DEVIN KUMAR DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 S HARBOR CITY BLVD, SUITE 610, MELBOURNE, FL 32901-5594
(321) 723-7716
(321) 723-0604
Mailing address
2222 S HARBOR CITY BLVD STE 610, MELBOURNE, FL 32901-5591
(321) 723-7716
(321) 723-0604
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME82856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03336
BCBS
FL
05
—
265084301
—
FL
01
—
OU297
MEDICARE HF
FL
Enumeration date
02/14/2006
Last updated
02/21/2022
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