Deren, Jeffrey A.

Deren, Jeffrey A. is an individual health care provider with primary practice located at 3451 Technological Ave , Orlando FL 32817-8353. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Deren, Jeffrey A. can be contacted via phone (407) 380-8705.

Contact Information

Primary practice address
3451 Technological Ave Orlando FL 32817-8353
Phone: (407) 380-8705
Fax: (407) 643-2804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME0064807 Florida
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME0064807 Florida
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME64807 Florida

Profile Details

NPI number 1790784544
LBN Legal business name Deren, Jeffrey A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Nov 3rd, 2020 - about 4 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 1790784544 NPPES
Florida Other 23420 BC/BS
Florida MEDICAID 373585100 BC/BS
Florida Other 200030019 BC/BS

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