Deveau, Michael David
Deveau, Michael David is an individual health care provider with primary practice located at 308 Kingsley Lake Dr Ste 802 , Saint Augustine FL 32092-3046. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Deveau, Michael David can be contacted via phone (904) 342-0438.Contact Information
Primary practice address
308 Kingsley Lake Dr Ste 802
Saint Augustine FL 32092-3046
Phone: (904) 342-0438
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | ME131282 | Florida |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ME131282 | Florida |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME131282 | Florida |
Profile Details
NPI number | 1528301132 |
---|---|
LBN Legal business name | Deveau, Michael David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 2013 |
Last updated | May 21st, 2024 - about 4 months 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 | 1528301132 | NPPES |
Other | 13880301 | CAQH |
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