Jerold A. Derkaz, Md Pa

LBN: Jerold A. Derkaz, Md Pa
Jerold A. Derkaz, Md Pa is an health care organization with primary practice located at 1290 Circle Dr , Defuniak Springs FL 32435-2505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jerold A. Derkaz, Md Pa can be contacted via phone (850) 892-6600, or through Arcabascio, Amanda via phone (850) 892-6600.

Contact Information

Primary practice address
1290 Circle Dr Defuniak Springs FL 32435-2505
Phone: (850) 892-6600
Fax: (850) 520-4660
Website:
Map and Directions
Authorized official contact:
Name: Arcabascio, Amanda
Phone: (850) 892-6600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0046412 Florida

Profile Details

NPI number 1477736106
LBN Legal business name Jerold A. Derkaz, Md Pa
DBA Doing business as
Authorized official Arcabascio, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2007
Last updated May 19th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477736106 NPPES
Florida Other 76015 BCBS
Florida Other K3534 BCBS
Florida MEDICAID 262982800 BCBS

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