Jegadees Devanesan, M.D. Valid NPI
Individual provider · Surgery Physician · Clewiston, FL
- NPI
- 1639193204
- Type
- Individual (Type 1)
- Primary specialty
- Surgery Physician (Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208600000X
- License number
- ME35369 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-27
- Last updated
- 2012-10-18
Practice location
540 W Sagamore Ave
Clewiston, FL 33440-3514
(863) 983-5026