Sevilla, Debbie Michelle
Sevilla, Debbie Michelle is an sole proprietor health care provider with primary practice located at 672 Sw Prima Vista Blvd Ste 101 , Port St Lucie FL 34983-1820. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Sevilla, Debbie Michelle can be contacted via phone (772) 905-2555.Contact Information
Primary practice address
672 Sw Prima Vista Blvd Ste 101
Port St Lucie FL 34983-1820
Phone: (772) 905-2555
Fax: (772) 336-8153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 21454 | Puerto Rico |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN1362 | Florida |
Profile Details
| NPI number | 1245737758 |
|---|---|
| LBN Legal business name | Sevilla, Debbie Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2018 |
| Last updated | Nov 1st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245737758 | NPPES |
| Florida | MEDICAID | 114251500 | |
| Florida | Other | N9218 |
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