Individual
JAYANT KRISHNANATH DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
E5990
AR
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME102582
FL
2080P0203X
Pediatric Critical Care Medicine Physician
10274
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100713300
—
FL
05
—
3058836
—
TN
01
—
4126539
BCBS
—
Enumeration date
06/30/2006
Last updated
10/17/2018
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