Search › Florida › 225100000X
Michael Derry
NPI 1285015024 · on the registry since 2015
Practice
- Address
- 131 Valley Grove Dr
Ponte Vedra, FL 32081 - Phone
- (309) 267-9873
- Organisation at this address
- Revision Health Services, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- FL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-08
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