Bianchi, Joseph Deverell

Bianchi, Joseph Deverell is an individual health care provider with primary practice located at 1890 Lpga Blvd Ste 250, Daytona Beach FL 32117-7130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bianchi, Joseph Deverell can be contacted via phone (386) 274-0250.

Contact Information

Primary practice address
1890 Lpga Blvd Ste 250 Daytona Beach FL 32117-7130
Phone: (386) 274-0250
Fax: (386) 274-0269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME75089 Florida

Profile Details

NPI number 1760487383
LBN Legal business name Bianchi, Joseph Deverell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Dec 9th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760487383 NPPES
Florida Other 006181 FHCP

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