Provider Demographics
NPI:1356836019
Name:DEUTSCHER, ANNETTE JAMIE (MD)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:JAMIE
Last Name:DEUTSCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 GIANNA WAY
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7818
Mailing Address - Country:US
Mailing Address - Phone:813-616-1663
Mailing Address - Fax:
Practice Address - Street 1:3004 GIANNA WAY
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7818
Practice Address - Country:US
Practice Address - Phone:813-616-1663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3175692084P0800X
FLME1542722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT67322OtherCT LIC