MEDICARE: DR. DANUTA DEEB 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
1	208000000X	Pediatrics Physician	ME45729	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	47709	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275580557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANUTA DEEB MD

Provider Business Mailing Address
First Line	:	2902 N ORANGE AVE
Second Line	:	SUITE D
City	:	ORLANDO
State	:	FL
Zip	:	32804-4605
Country	:	US
Telephone Number	:	407-898-4116
Fax Number	:	407-894-1091

Provider Business Practice Location Address
First Line	:	2902 N ORANGE AVE
Second Line	:	SUITE D
City	:	ORLANDO
State	:	FL
Zip	:	32804-4605
Country	:	US
Telephone Number	:	407-898-4116
Fax Number	:	407-894-1091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	04/04/2013

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Directions to “ DR. DANUTA DEEB MD” Practice Location

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