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NPI Code Detail

MEDICARE: MARIA JULIA JOCELYN DESAI MD

MEDICARE: MARIA JULIA JOCELYN DESAI 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
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) PhysicianME87757FL
2207Q00000XFamily Medicine PhysicianME87757FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1323296OTHERFLAVMED
248363OTHERFLBCBS
3P00863034OTHERFLRAILROAD MCR TO GRP# DQ1103
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558363572
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA JULIA JOCELYN DESAI MD
Provider Business Mailing Address
First Line : PO BOX 25595
Second Line :
City : TAMPA
State : FL
Zip : 33622-5595
Country : US
Telephone Number : 727-823-2188
Fax Number : 727-828-0723
Provider Business Practice Location Address
First Line : 7171 N DALE MABRY HWY
Second Line : STE 404
City : TAMPA
State : FL
Zip : 33614-2665
Country : US
Telephone Number : 813-558-4900
Fax Number : 813-558-2155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 02/19/2024

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