Individual
VICTOR E. DE LOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5045 FRUITVILLE RD UNIT 123B, SARASOTA, FL 34232-2269
(772) 203-4613
(727) 290-4383
Mailing address
782 PLYMOUTH ST UNIT 12, HOLBROOK, MA 02343-1952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.19935
AL
207V00000X
Obstetrics & Gynecology Physician
78151
FL
208D00000X
General Practice Physician
Primary
ME78151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022825500
—
FL
05
—
131855
—
AL
05
—
132989
—
AL
01
—
266278
AVMED
FL
01
—
5474634
AETNA
FL
01
—
58949
FLORIDA BLUE
FL
Enumeration date
10/20/2005
Last updated
06/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us