Individual
DR. DEBORAH J. EDGEWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 N RICHARD JACKSON BLVD STE 130, PANAMA CITY BEACH, FL 32407
(850) 608-6405
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4500
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
14000
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
ME75682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255106300
—
FL
Enumeration date
09/26/2005
Last updated
08/21/2019
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