| Mr Lawrence P Deziel, MD | |
|
2055 Military Trl, Jupiter, FL 33458-7801 | |
| (561) 741-1705 | |
| Not Available |
| Full Name | Mr Lawrence P Deziel |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 2055 Military Trl, Jupiter, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114984556 | NPI | - | NPPES |
| 04567 | Other | FL | BCBS |
| 047364200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MQ50678 (Florida) | Primary |
| Entity Name | Palm Pain Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427830744 PECOS PAC ID: 1759739402 Enrollment ID: O20231120000427 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lawrence P Deziel, MD 2055 Military Trl Ste 100, Jupiter, FL 33458-7830 Ph: (561) 741-1705 | Mr Lawrence P Deziel, MD 2055 Military Trl, Jupiter, FL 33458-7801 Ph: (561) 741-1705 |
Mr. Matteo Rosselli, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1210 So Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-649-3138 Fax: 561-649-3029 | |
Paul D Havenstein, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15294 101st Trl N, Jupiter, FL 33478 Phone: 313-363-1269 | |
Jannette Mills, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 851 W Indiantown Rd, Jupiter, FL 33458 Phone: 561-747-1232 Fax: 561-747-1251 | |
Debra M Hurwitz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-263-5005 | |
Mr. Julio Rodriguez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1210 So Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-649-3138 Fax: 561-649-3029 | |
Michael J Tuohy, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2055 Military Trl, Jupiter, FL 33458 Phone: 561-741-1705 |