Refuse, Destiny Debora Coley

Refuse, Destiny Debora Coley is an individual health care provider with primary practice located at 100 Main St Ste 203 , Safety Harbor FL 34695-3668. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Refuse, Destiny Debora Coley can be contacted via phone (727) 799-4150.

Contact Information

Primary practice address
100 Main St Ste 203 Safety Harbor FL 34695-3668
Phone: (727) 799-4150
Fax: (727) 796-1845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11003699 Florida

Profile Details

NPI number 1982250205
LBN Legal business name Refuse, Destiny Debora Coley
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2019
Last updated Sep 17th, 2020 - about 4 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 1982250205 NPPES
Florida MEDICAID 106806700

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