Edgeworth, Deborah J.

Edgeworth, Deborah J. is an individual health care provider with primary practice located at 120 N Richard Jackson Blvd Ste 130 , Panama City Beach FL 32407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Edgeworth, Deborah J. can be contacted via phone (850) 608-6405.

Contact Information

Primary practice address
120 N Richard Jackson Blvd Ste 130 Panama City Beach FL 32407
Phone: (850) 608-6405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME75682 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 14000 Mississippi

Profile Details

NPI number 1003802935
LBN Legal business name Edgeworth, Deborah J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Aug 21st, 2019 - about 7 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 1003802935 NPPES
Florida MEDICAID 255106300

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