Deraimo, Anthony J.

Deraimo, Anthony J. is an individual health care provider with primary practice located at 5151 N 9Th Ave , Pensacola FL 32504-8721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Deraimo, Anthony J. can be contacted via phone (850) 416-6020.

Contact Information

Primary practice address
5151 N 9Th Ave Pensacola FL 32504-8721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME0048453 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0048453 Florida

Profile Details

NPI number 1144281437
LBN Legal business name Deraimo, Anthony J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 12th, 2014 - about 10 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 1144281437 NPPES
Florida MEDICAID 043212100
Florida Other 17663
Florida Other 300070293
Florida Other 57477
Florida Other 009003570

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