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NPI Code Detail

MEDICARE: DR. ERIC CHRISTOPHER DEUSSING MD

MEDICARE:  DR. ERIC CHRISTOPHER DEUSSING  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician0101235525VA

General Provider Information

NPI Number : 1174594493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC CHRISTOPHER DEUSSING MD
Provider Business Mailing Address
First Line : 4495 ROOSEVELT BLVD
Second Line : SUITE 304-183
City : JACKSONVILLE
State : FL
Zip : 32210-3375
Country : US
Telephone Number : 504-701-7879
Fax Number :
Provider Business Practice Location Address
First Line : 4495 ROOSEVELT BLVD
Second Line : SUITE 304-183
City : JACKSONVILLE
State : FL
Zip : 32210-3375
Country : US
Telephone Number : 504-701-7879
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ERIC CHRISTOPHER DEUSSING MD” Practice Location

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