Individual
DERRELL L. BILLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
809 E MARION AVE, PUNTA GORDA, FL 33950-3819
(941) 637-2529
Mailing address
537 PARK ESTATES SQ, VENICE, FL 34293-4181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS4132
FL
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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