Gumble, Debora Lynn
Gumble, Debora Lynn is an sole proprietor health care provider with primary practice located at 1955 Us 1 S Suite 100, Saint Augustine FL 32086-3708. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Gumble, Debora Lynn can be contacted via phone (904) 825-5055.Contact Information
Primary practice address
1955 Us 1 S Suite 100
Saint Augustine FL 32086-3708
Phone: (904) 825-5055
Fax: (904) 825-6875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1730515222 |
|---|---|
| LBN Legal business name | Gumble, Debora Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2013 |
| Last updated | Sep 17th, 2013 - about 11 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 | 1730515222 | NPPES |
| Florida | MEDICAID | APPLIED FOR |
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