Michael Derouin
Primary Podiatric Medicine
2407 N Roosevelt Blvd
Key West
, Florida 33040-3837
Michael Derouin
Primary Podiatric Medicine
2407 N Roosevelt Blvd
Key West
, Florida 33040-3837
(305) 294-6670
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Michael Derouin
- 2407 N Roosevelt Blvd
- Key West, FL
- Zip : 33040-3837
- Fax : (305) 294-6670
- Phone : (305) 294-5553
Second Address
- Michael Derouin
- 2407 N Roosevelt Blvd
- Key West, FL
- Zip : 33040-3837
- Fax : (305) 294-6670
- Phone : (305) 294-5553
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | PO-000950 | FL |
National Provider Identifier
| NPI | 1356430888 |
|---|---|
| Provider Name | Michael Derouin |
| First Address | Key West, FL 33040-3837 |
| Second Address | Key West, FL 33040-3837 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 19/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 340211800 | (05) | FL |
| U79371 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.