=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437395845
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PARIKSHIT ANANT DESHMUKH M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2009
-----------------------------------------------------
Last Update Date | 06/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3200 SW 34TH AVE STE 701
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34474-8443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-779-2429
-----------------------------------------------------
Fax | 888-248-4348
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3200 SW 34TH AVE STE 701
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34474-8443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-779-2429
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | ME112320
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------