Miguel Dejuk, PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME 0055591 Issued in FL

Legal business name

MIGUEL DEJUK, PC

Practice address

800 Zeagler Dr Ste 210
Palatka, FL 32177-3827

Phone

(386) 328-8668

Fax

(386) 328-3767

NPI assigned

Sep 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miguel Gazel Dejuk, MDNPI 1912070269

Title

Owner

Phone

(386) 328-8668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel Dejuk, M.D.

  • Internal Medicine Physician
  • Palatka, FL
  • NPI 1912070269
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1457634263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR STE 210",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773827",
            "telephone_number": "386-328-8668",
            "fax_number": "386-328-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR STE 210",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773827",
            "telephone_number": "386-328-8668",
            "fax_number": "386-328-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL DEJUK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "DEJUK",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "GAZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-328-8668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME 0055591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medex Primary Care
• Melvin M. Seek, MD, PA
• Meridian Behavioral Healthcare, Inc.
• MH Health Care Services, PC
• Sherry D. Michael, LPN
• Lori H. Milam
• John C Milanick, M.D.
• Rosalie J. Milano, CRNA
• Miles C Anderson, MD
• Dawn Shepherd Miles, DPM

• Endocrinology, Diabetes & Metabolism Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.