JUSTIN P DEPTULA

TAOS INPATIENT SERVICES LLC

Dr JUSTIN P DEPTULA is a male medical professional, specializing in Internal Medicine. He graduated in 2016.

Contact

TAOS INPATIENT SERVICES LLC

14000 FIVAY RD
HUDSON
FL
346677103

Tel: 7278192929

JUSTIN P DEPTULA Information

Npi 1386094910
Pac Id 0345533675
Professional Enrollment Id I20190708000806
Last Name DEPTULA
First Name JUSTIN
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TAOS INPATIENT SERVICES LLC
Group Practice Pac Id 7113249392
Number Of Group Practice Members 13
Line 1 Street Address 14000 FIVAY RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HUDSON
State FL
Zip Code 346677103
Phone Number 7278192929
Hospital Affiliation Ccn 1 100256
Hospital Affiliation Lbn 1 REGIONAL MEDICAL CENTER BAYONET POINT
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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