Deborah Lane Ghandour in Jacksonville Beach - Medical
Deborah Lane Ghandour - NPI 1053329599
Deborah Lane Ghandour is a Medical in Jacksonville Beach, Florida. Deborah Lane Ghandour practices all healthcare services and medical treatments related to Medical. The NPI Number for Deborah Lane Ghandour is 1053329599. The last update date is 2022-12-16.
Deborah Lane Ghandour's current location address is 1825 3rd St N Ste B, Jacksonville Beach, Florida. You can contact this provider via phone number 9045955826 and fax number 9045955827. The mailing address for Deborah Lane Ghandour is 1825 3rd St N Ste B, Jacksonville Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Lane Ghandour |
|---|---|
| Address | 1825 3rd St N Ste B, Jacksonville Beach, Florida |
| Phone Number | 9045955826 |
| Fax Number | 9045955827 |
| Sole Proprietor | N |
| Credentials | PA-C, DHSC |
NPI Number Detail
| NPI Number | 1053329599 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2022-12-16 |
Provider Mailing Address Detail
| Address | 1825 3rd St N Ste B |
|---|---|
| City | Jacksonville Beach |
| State | Florida (FL) |
| Post Code | 322504840 |
| Phone Number | 9045955826 |
| Fax Number | 9045955827 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9101774 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Deborah Lane Ghandour by the Centers for Medicare & Medicaid Services?
The Deborah Lane Ghandour has been assigned the NPI (National Provider Identifier) 1053329599 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Deborah Lane Ghandour is geographically located?
The Deborah Lane Ghandour is physically situated at the following location: 1825 3Rd St N Ste B, Jacksonville Beach, FL, 322504840.
What is Deborah Lane Ghandour's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Deborah Lane Ghandour is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date was the 1053329599 assigned to Deborah Lane Ghandour?
The Deborah Lane Ghandour was issued its 1053329599 on 2006-08-03, 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 details related to Deborah Lane Ghandour most recently updated or revised?
The information pertaining to Deborah Lane Ghandour, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-16.
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