Individual
DEREK BOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6101 CRILL AVE, PALATKA, FL 32177-3875
(386) 326-1225
Mailing address
6101 CRILL AVE, PALATKA, FL 32177-3875
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0064464
FL
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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