Matthew Ryan Deboer in Saint Johns - Family Medicine
Matthew Ryan Deboer - NPI 1104047893
Matthew Ryan Deboer is a Family Medicine in Saint Johns, Florida. Matthew Ryan Deboer practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Matthew Ryan Deboer is 1104047893. The last update date is 2023-08-15.
Matthew Ryan Deboer's current location address is 1310 County Road 210 W, Saint Johns, Florida. You can contact this provider via phone number 9048244407 and fax number 9043907459. The mailing address for Matthew Ryan Deboer is 1310 County Road 210 W, Saint Johns, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Ryan Deboer |
|---|---|
| Address | 1310 County Road 210 W, Saint Johns, Florida |
| Phone Number | 9048244407 |
| Fax Number | 9043907459 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1104047893 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2023-08-15 |
Provider Mailing Address Detail
| Address | 1310 County Road 210 W |
|---|---|
| City | Saint Johns |
| State | Florida (FL) |
| Post Code | 32259 |
| Phone Number | 9048244407 |
| Fax Number | 9043907459 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS10998 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00855555 | FL | RR MEDICARE |
Post Comment/ Review Below
What is the Matthew Ryan Deboer's unique identification number?
The Matthew Ryan Deboer has been assigned the NPI (National Provider Identifier) Number 1104047893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Matthew Ryan Deboer?
The Matthew Ryan Deboer is physically situated at 1310 County Road 210 W, in the city of Saint Johns, state of FL, with the postal code 32259.
What is Matthew Ryan Deboer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Matthew Ryan Deboer is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date was the 1104047893 assigned to Matthew Ryan Deboer?
The Matthew Ryan Deboer was issued its 1104047893 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Matthew Ryan Deboer's details last updated?
The information pertaining to the Matthew Ryan Deboer, including its address, specialty, and other details, was most recently updated on 2023-08-15.