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DEREK BOHN M.D.

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1992719207

Individual Registrant:
 DEREK  BOHN M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
6101 CRILL AVE  PALATKA, FL 32177-3875 US
Tel: 386-326-1225  Fax: --

Contact information for business:
6101 CRILL AVE  PALATKA, FL 32177-3875 US
Tel: --  Fax: --

Registration Information:
NPI: 1992719207
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
FLME0064464

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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