Debelius-Enemark, Peter C.

Debelius-Enemark, Peter C. is an individual health care provider with primary practice located at 1616 Physicians Dr , Tallahassee FL 32308-4619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Debelius-Enemark, Peter C. can be contacted via phone (850) 431-5105.

Contact Information

Primary practice address
1616 Physicians Dr Tallahassee FL 32308-4619
Phone: (850) 431-5105
Fax: (850) 431-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0061863 Florida

Profile Details

NPI number 1376593913
LBN Legal business name Debelius-Enemark, Peter C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 31st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376593913 NPPES
Florida Other 15126 BLUECROSSBLUESHEILD
Florida MEDICAID 262880500 BLUECROSSBLUESHEILD

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