Individual
DR. DEBRA C JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6816 DALI AVE, E 103, LAND O LAKES, FL 34637-7851
(810) 997-5931
Mailing address
6816 DALI AVE, E 103, LAND O LAKES, FL 34637-7851
(813) 997-5931
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11509
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11509
STATE LICENSE
AL
Enumeration date
03/09/2016
Last updated
03/09/2016
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