Deguzman, Mary Jean S.

Deguzman, Mary Jean S. is an individual health care provider with primary practice located at 895 Sw 30Th Ave Suite 101, Pompano Beach FL 33069-4887. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Deguzman, Mary Jean S. can be contacted via phone (954) 633-3387.

Contact Information

Primary practice address
895 Sw 30Th Ave Suite 101 Pompano Beach FL 33069-4887
Phone: (954) 633-3387
Fax: (954) 633-3217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X ME70419 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME70419 Florida

Profile Details

NPI number 1275518201
LBN Legal business name Deguzman, Mary Jean S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jun 17th, 2013 - about 12 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 1275518201 NPPES
Florida MEDICAID 252471200
Florida Other 220019667

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