Bobra, Deepali Ajitkumar

Bobra, Deepali Ajitkumar is an individual health care provider with primary practice located at 1218 Millennium Parkway , Brandon FL 33511-3895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bobra, Deepali Ajitkumar can be contacted via phone (813) 684-5255.

Contact Information

Primary practice address
1218 Millennium Parkway Brandon FL 33511-3895
Phone: (813) 684-5255
Fax: (813) 654-7457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME109472 Florida

Profile Details

NPI number 1245444918
LBN Legal business name Bobra, Deepali Ajitkumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Dec 5th, 2014 - about 11 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 1245444918 NPPES
Pennsylvania MEDICAID 1020386900001
Pennsylvania Other GU039851
Pennsylvania Other GU039851
Pennsylvania MEDICAID 02927237
Pennsylvania MEDICAID 003821600

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