Desautel, Michael G
Desautel, Michael G is an individual health care provider with primary practice located at 609 W Highland Blvd , Inverness FL 34452-4638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Desautel, Michael G can be contacted via phone (352) 726-9707.Contact Information
Primary practice address
609 W Highland Blvd
Inverness FL 34452-4638
Phone: (352) 726-9707
Fax: (352) 726-8763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME78107 | Florida |
Profile Details
| NPI number | 1831161660 |
|---|---|
| LBN Legal business name | Desautel, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | May 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831161660 | NPPES |
| Florida | Other | 46851 | BCBS FLORIDA |
| Florida | Other | 340016756 | BCBS FLORIDA |
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