Deborah Lane Ghandour PA-C, DHSC

NPI 1053329599 - Physician Assistant - 363AM0700X

NPI Details
NPI 1053329599
Gender Female
Enumeration Date 08/03/2006
Last Updated 08/21/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1361 13TH AVE S
SUITE 150
JACKSONVILLE BEACH FL, 32250-3233, US
Phone (904) 242-7177
Fax (904) 242-7433
Business Location
1361 13TH AVE S
SUITE 150
JACKSONVILLE BEACH FL, 32250-3233, US
Phone (904) 242-7177
Fax (904) 242-7433
Toxanomy
Taxonomy Code 363AM0700X
License State Florida
License Number PA9101774
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According to our database, Dr. Deborah Lane Ghandour PA-C, DHSC NPI is 1053329599, taxonomy code is 363AM0700X and license number is PA9101774, license state is located at Florida. Deborah Lane Ghandour PA-C, DHSC physically located at 1361 13th Ave S, Jacksonville Beach FL, 32250-3233. NPI Number Deborah Lane Ghandour PA-C, DHSC has the Individual type.

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1053329599 NPI number is provided on an as is basis without warranty of any kind. 1053329599 is maintained by the National Plan & Provider Enumeration System. The contents of Deborah Lane Ghandour PA-C, DHSC are for informational purposes only.