Healthcare Provider Details

I. General information

NPI: 1982653341
Provider Name (Legal Business Name): NAVIN D DESHPANDE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 08/21/2022
Certification Date: 08/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 US HIGHWAY 27 N
SEBRING FL
33870-1051
US

IV. Provider business mailing address

7215 US HIGHWAY 27 N
SEBRING FL
33870-1051
US

V. Phone/Fax

Practice location:
  • Phone: 863-452-1818
  • Fax: 863-452-6544
Mailing address:
  • Phone: 863-452-1818
  • Fax: 863-452-6544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME73061
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: