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NPI Code Detail

MEDICARE: DR. DEEP AMIN MD

MEDICARE: DR. DEEP AMIN 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
1390200000XStudent in an Organized Health Care Education/Training ProgramTRN37002FL
2207R00000XInternal Medicine PhysicianME179956FL

General Provider Information

NPI Number : 1720780570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEEP AMIN MD
Provider Business Mailing Address
First Line : 1700 S 23RD ST
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4803
Country : US
Telephone Number : 772-773-2963
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S 23RD ST
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4803
Country : US
Telephone Number : 772-773-2963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2023
Last Update Date : 03/14/2026

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Directions to “ DR. DEEP AMIN MD” Practice Location

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