DR. JUDE DESORMEAU M.D. NPI 1720175383

NPI Information

  • NPI: 1720175383
  • Provider Name: DR. JUDE DESORMEAU, M.D.
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • Address: 1860 N LAWNWOOD CIR
    FORT PIERCE, FL
    ZIP 34950
  • Phone: (772) 871-7800

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NPI Details

DR. Jude Desormeau, M.D. is an addiction medicine psychiatry neurology in Fort Pierce, FL. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Jude Desormeau, M.D. NPI is 1720175383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1860 N LAWNWOOD CIR
FORT PIERCE, FL
ZIP 34950-828
Phone: (772) 871-7800
Fax: (772) 871-7822

The enumeration date for this NPI number is 10/6/2006 and was last updated on 9/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction MedicineME64499FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143560MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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