Crater, Dana Debord
Crater, Dana Debord is an sole proprietor health care provider with primary practice located at 9350 Camelot Dr , Fort Myers FL 33919-7980. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Crater, Dana Debord can be contacted via phone (239) 481-5437.Contact Information
Primary practice address
9350 Camelot Dr
Fort Myers FL 33919-7980
Phone: (239) 481-5437
Fax: (239) 481-0570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME102094 | Florida |
Profile Details
| NPI number | 1043285547 |
|---|---|
| LBN Legal business name | Crater, Dana Debord |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2006 |
| Last updated | May 21st, 2020 - about 6 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 | 1043285547 | NPPES |
| Florida | MEDICAID | 000697700 |
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