Deveau, Michael David

Deveau, Michael David is an individual health care provider with primary practice located at 308 Kingsley Lake Dr Ste 802 , Saint Augustine FL 32092-3046. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Deveau, Michael David can be contacted via phone (904) 342-0438.

Contact Information

Primary practice address
308 Kingsley Lake Dr Ste 802 Saint Augustine FL 32092-3046
Phone: (904) 342-0438
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X ME131282 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME131282 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME131282 Florida

Profile Details

NPI number 1528301132
LBN Legal business name Deveau, Michael David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated May 21st, 2024 - about 2 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 1528301132 NPPES
Other 13880301 CAQH

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