JEROLD A. DERKAZ, MD PA
Marriage and Family Therapists at Circle Dr, Defuniak Springs, FL

License number
Florida ME0046412
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: AMANDA ARCABASCIO
Title: RECEPTIONIST
Phone: (850) 892-6600
Address
Address
1290 Circle Dr, Defuniak Springs, FL 32435
National Provider ID: 1477736106
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jerold A. Derkaz, M.D., PA

1290 Cir Dr, Defuniak Springs, FL 32435

Registration:
Nov 13, 1998
State ID:
P98000096661
Business type:
Domestic for Profit Corporation
Directors:
Jerold A. Derkaz (Director),Jerold Am D Derkaz Director, inactive

Dr. Jerold Derkaz, MD, PA

1290 Cir Dr, Defuniak Springs, FL 32435

Doing business as:
Dr. Derkaz, Jerold MD, PA
Registration:
Oct 15, 1990
Phone:
(850) 892-6600 (Phone), (850) 892-0753 (Fax)
MD:
Jerold Derkaz (MD)
Categories:
Physicians & Surgeons - Medical-M.D.

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