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Manjul Dilipbhai Derasari
Interventional Pain Medicine Physician in Zephyrhills, Florida
NPI 1912969775

Manjul Dilipbhai Derasari is a Interventional Pain Medicine Physician based in Zephyrhills, FL and is specialized in Interventional Pain Medicine. Manjul Dilipbhai Derasari practices in Zephyrhills, FL. The NPI Number for Manjul Dilipbhai Derasari is 1912969775 and holds a License No. ME0054111 (Florida).

The current practice location address for Manjul Dilipbhai Derasari is 36763 Eiland Blvd Ste 201, Zephyrhills, FL and can be reached out via phone at 813-977-6688 and via fax at 813-355-5060.

Location: 36763 Eiland Blvd Ste 201, Zephyrhills, FL, 33542-7505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912969775
Provider Name
Manjul Dilipbhai Derasari
Credential
Provider Entity Type
Individual
Gender
Male
Address
36763 Eiland Blvd Ste 201, Zephyrhills, FL, 33542-7505
Phone Number
813-977-6688
Fax Number
813-355-5060
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
064751900 05 FL
39715 01 FL MEDICARE PTAN GROUP
11609R 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
36763 Eiland Blvd Ste 201
City
Zephyrhills
State
Florida
Zip
33542
Phone Number
813-977-6688
Fax Number
813-355-5060
person
Provider Business Mailing Address Details
Address
36763 Eiland Blvd Ste 201
City
Zephyrhills
State
Florida
Zip
33542
Phone Number
813-977-6688
Fax Number
813-355-5060
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME54111 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
ME0054111 (Florida)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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