Deboer, Kevin D
Deboer, Kevin D is an individual health care provider with primary practice located at 1115 E. Ridgewood Street , Orlando FL 32803. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Deboer, Kevin D can be contacted via phone (407) 841-1100.Contact Information
Primary practice address
1115 E. Ridgewood Street
Orlando FL 32803
Phone: (407) 841-1100
Fax: (407) 841-0774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS10699 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | OS10699 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | OS10699 | Florida |
Profile Details
| NPI number | 1649272402 |
|---|---|
| LBN Legal business name | Deboer, Kevin D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Dec 1st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649272402 | NPPES |
| Florida | MEDICAID | 001667000 |
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