De Loach, Victor E.

De Loach, Victor E. is an individual health care provider with primary practice located at 5045 Fruitville Rd Unit 123B , Sarasota FL 34232-2269. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. De Loach, Victor E. can be contacted via phone (772) 203-4613.

Contact Information

Primary practice address
5045 Fruitville Rd Unit 123B Sarasota FL 34232-2269
Phone: (772) 203-4613
Fax: (727) 290-4383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.19935 Alabama
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 78151 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME78151 Florida

Profile Details

NPI number 1982693123
LBN Legal business name De Loach, Victor E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jun 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982693123 NPPES
Florida MEDICAID 022825500
Florida MEDICAID 131855
Florida Other 5474634
Florida Other 58949
Florida MEDICAID 132989
Florida Other 266278

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