Organization · Type 2 NPI

Manjul Derasari M.d.,p.a.

Specialist · Tampa, FL

NPI number 1407915929 Active

Practice location

1912 E Busch Blvd
Tampa, FL 33612-8666

Call (813) 933-5900 Map

Fax (813) 935-9687

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME54111 (FL)

Specialist: 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.

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About NPI 1407915929

Manjul Derasari M.d.,p.a.'s National Provider Identifier is 1407915929, issued on Dec 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tampa, FL. The record was last updated on Dec 19, 2013.