Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 270284 | NY |
Y | 2084N0400X | Neurologist | ME137419 | FL |
NPI | 1033344239 |
---|---|
Provider Name | Erin Marie Deegan |
First Address | The Villages, FL 32162-2699 |
Second Address | The Villages, FL 32163-2032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2009 |
Last Update Date | 11/10/2018 |