Debra Sells in Jacksonville - Pediatrics

Debra Sells - NPI 1013937317

Debra Sells is a Pediatrics in Jacksonville, Florida. Debra Sells practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Debra Sells is 1013937317. The last update date is 2007-07-08.

Debra Sells's current location address is 12276 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9048863228 and fax number 9048863297. The mailing address for Debra Sells is 12276 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Debra Sells
Address 12276 San Jose Blvd, Jacksonville, Florida
Phone Number 9048863228
Fax Number 9048863297
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1013937317
Provider Enumeration Date 2006-07-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12276 San Jose Blvd
City Jacksonville
State Florida (FL)
Post Code 322238628
Phone Number 9048863228
Fax Number 9048863297

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No PT12035
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Y5078 FL BLUE CROSS BLUE SHIELD

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FAQs about Debra Sells

What is the unique provider identifier assigned to Debra Sells?

The Debra Sells has been issued the NPI (National Provider Identifier) 1013937317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Debra Sells's facilities are geographically located?

The facilities of Debra Sells are physically situated at the following location: 12276 San Jose Blvd, Jacksonville, FL, 322238628.

What is Debra Sells's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Debra Sells is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 2251P0200X.

On what date did Debra Sells receive its 1013937317 assignment from the Centers for Medicare & Medicaid Services?

The Debra Sells was assigned its 1013937317 on 2006-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Debra Sells most recently updated or refreshed?

The details pertaining to the Debra Sells, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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