Jerold A. Derkaz, MD PA

NPI #1477736106 in Defuniak Springs, Florida

Provider Information

NPI Number: 1477736106
Entity Type: Organization
Organization Name: Jerold A. Derkaz, MD PA
Primary Specialty: Family Medicine
Enumeration Date: Dec 17, 2007
Last Updated: May 19, 2011

Practice Location

Address: 1290 CIRCLE DR
City: Defuniak Springs
State: Florida
ZIP Code: 32435-2505
Phone: (850) 892-6600

Authorized Official

Name: AMANDA ARCABASCIO
Title: RECEPTIONIST
Phone: (850) 892-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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