Springer, Deanna Kingsley
Springer, Deanna Kingsley is an individual health care provider with primary practice located at 740 Dunlawton Ave , Port Orange FL 32127-4239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Springer, Deanna Kingsley can be contacted via phone (386) 763-1000.Contact Information
Primary practice address
740 Dunlawton Ave
Port Orange FL 32127-4239
Phone: (386) 763-1000
Fax: (386) 481-6399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME81902 | Florida |
Profile Details
| NPI number | 1740286756 |
|---|---|
| LBN Legal business name | Springer, Deanna Kingsley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jun 19th, 2024 - 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 | 1740286756 | NPPES |
| Florida | Other | 57754 | BCBS |
| Florida | MEDICAID | 007276600 | BCBS |
| Florida | Other | 1740286756 | BCBS |
| Florida | Other | P01111030 | BCBS |
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