Search › Florida › 208VP0014X
Manjul Derasari
NPI 1912969775 · on the registry since 2006 · sole proprietor
Practice
- Address
- 36763 Eiland Blvd Ste 201
Zephyrhills, FL 33542 - Phone
- (813) 977-6688
- Fax
- (813) 355-5060
- Organisation at this address
- Florida Medical Clinic, Llc
Florida Medical Clinic, Llc
Florida Medical Clinic, Llc
Florida Medical Clinic, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 1912 E Busch Blvd, Tampa, FL
- 1912 E Busch Blvd, Tampa, FL
- 2100 Via Bella Blvd Ste 103, Land O Lakes, FL
Registry record
- Primary taxonomy
- 208VP0014X
208VP0014X
- Also registered as
- 174400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida