NPI 1134363203

Isaac Benjamin Deas, LMHC

Practitioner Community Health Worker Tavares, FL

Practice location

Address: 385 W Alfred St, Tavares, FL 32778-3270
Phone: (352) 406-1264
Fax: (352) 343-6115

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 7321 (FL)

Other Community Health Worker providers in Florida →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 7321 (FL)

Other Community/Behavioral Health providers in Florida →

Registry record

NPI: 1134363203
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2009
Record last updated: 20 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.