Marie Lynne Deruyter M.D.

NPI 1164419453 - Anesthesiology - 207LP2900X

NPI Details
NPI 1164419453
Gender Female
Enumeration Date 10/01/2005
Last Updated 01/24/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax
Business Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax
Toxanomy
Taxonomy Code 207LP2900X
License State Florida
License Number ME62548
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According to our database, Dr. Marie Lynne Deruyter M.D. NPI is 1164419453, taxonomy code is 207LP2900X and license number is ME62548, license state is located at Florida. Marie Lynne Deruyter M.D. physically located at 4500 San Pablo Rd S, Jacksonville FL, 32224-1865. NPI Number Marie Lynne Deruyter M.D. has the Individual type.

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1164419453 NPI number is provided on an as is basis without warranty of any kind. 1164419453 is maintained by the National Plan & Provider Enumeration System. The contents of Marie Lynne Deruyter M.D. are for informational purposes only.