Vrushak Deshpande
Gastroenterologist
3635 Clyde Morris Blvd Ste 100
Port Orange
, Florida 32129-2349
Vrushak Deshpande
Gastroenterologist
3635 Clyde Morris Blvd Ste 100
Port Orange
, Florida 32129-2349
(904) 398-7205
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Vrushak Deshpande
- 4800 Belfort Rd
- Jacksonville, FL
- Zip : 32256-6004
- Phone : (904) 398-7205
Second Address
- Vrushak Deshpande
- 3635 Clyde Morris Blvd Ste 100
- Port Orange, FL
- Zip : 32129-2349
- Fax : (386) 756-8802
- Phone : (386) 788-1242
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | ME138988 | FL |
National Provider Identifier
| NPI | 1003150715 |
|---|---|
| Provider Name | Vrushak Deshpande |
| First Address | Jacksonville, FL 32256-6004 |
| Second Address | Port Orange, FL 32129-2349 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2012 |
| Last Update Date | 17/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102986300 | (05) | 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.