Marie Lynne Deruyter in Jacksonville - Pain Medicine
Marie Lynne Deruyter - NPI 1164419453
Marie Lynne Deruyter is a Pain Medicine in Jacksonville, Florida. Marie Lynne Deruyter practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Marie Lynne Deruyter is 1164419453. The last update date is 2020-09-02.
Marie Lynne Deruyter's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Marie Lynne Deruyter is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie Lynne Deruyter |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164419453 |
|---|---|
| Provider Enumeration Date | 2005-10-01 |
| Last Updated Date | 2020-09-02 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | ME62548 |
|
Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25484 | FL | BLUECROSS/BLUESHIELD | |
| 261226700 | FL | -- | |
| 50030329 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marie Lynne Deruyter by the Centers for Medicare & Medicaid Services?
The Marie Lynne Deruyter has been issued the NPI (National Provider Identifier) 1164419453, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Marie Lynne Deruyter's facilities are geographically located?
The facilities of Marie Lynne Deruyter are physically situated at the following location: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is Marie Lynne Deruyter's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marie Lynne Deruyter's area of specialization is Pain Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Lp2900X.
On what date was the 1164419453 assigned to Marie Lynne Deruyter?
The Marie Lynne Deruyter was issued its 1164419453 on 2005-10-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Marie Lynne Deruyter last refreshed?
The information related to the Marie Lynne Deruyter, including its address, specialty, and other relevant details, was last updated on 2020-09-02.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN