Deshmukh, Pratima

Deshmukh, Pratima is an sole proprietor health care provider with primary practice located at 515 W State Road 434 , Longwood FL 32750-4981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Deshmukh, Pratima can be contacted via phone (407) 830-8600.

Contact Information

Primary practice address
515 W State Road 434 Longwood FL 32750-4981
Phone: (407) 830-8600
Fax: (407) 830-5110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME103241 Florida

Profile Details

NPI number 1932109782
LBN Legal business name Deshmukh, Pratima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Aug 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932109782 NPPES
Florida MEDICAID 023893100
Florida Other EN433Y

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