Individual
DR. IDEAN SOTOUDEH DEILAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5350 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 688-8116
(352) 686-9477
Mailing address
14690 SPRING HILL DR STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME150268
FL
208M00000X
Hospitalist Physician
Primary
ME150268
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
01/04/2022
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