Derouin, Michael

Derouin, Michael is an individual health care provider with primary practice located at 2780 N Roosevelt Blvd Ste 2 , Key West FL 33040-3930. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Derouin, Michael can be contacted via phone (305) 294-5553.

Contact Information

Primary practice address
2780 N Roosevelt Blvd Ste 2 Key West FL 33040-3930
Phone: (305) 294-5553
Fax: (305) 294-6670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO-000950 Florida

Profile Details

NPI number 1356430888
LBN Legal business name Derouin, Michael
Credentials DPM,FACFAS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated May 16th, 2023 - about last year

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 1356430888 NPPES
Florida MEDICAID 340211800

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