Deaisa Zhane Bomort
Driver • Lakeland, FL
Professional Overview & Biography Verified Profile Summary
Deaisa Bomort is a registered healthcare professional specializing in Driver in Lakeland, FL. Practice services are available at 1836 N CRYSTAL LAKE DR under active NPI credentials.
Practice Location & Contact Primary Location
1836 N Crystal Lake Dr
Lakeland, FL 338016576
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Lakeland, FL
Practicing in Lakeland, FL (421 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2021-08-02NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1836 N CRYSTAL LAKE DR, LAKELAND, FL 338016576 (Tel: 8637389493)
Registered at 1836 N CRYSTAL LAKE DR, LAKELAND, FL 338016576 (Tel: 8637389493)
Recorded as DEAISA BOMORT
Driver (License #B563179949530 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1836 N Crystal Lake Dr
Lakeland, FL 338016576
Phone: 8637389493
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.