Derezil, Michal-Ann

Derezil, Michal-Ann is an individual health care provider with primary practice located at 293 Nw Peacock Blvd , Port St Lucie FL 34986-2222. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Derezil, Michal-Ann can be contacted via phone (772) 335-9600.

Contact Information

Primary practice address
293 Nw Peacock Blvd Port St Lucie FL 34986-2222
Phone: (772) 335-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME151337 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 295136 New York
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME151337 Florida

Profile Details

NPI number 1689054348
LBN Legal business name Derezil, Michal-Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2015
Last updated Aug 11th, 2021 - 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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