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Individual

DEBRA H GEOTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2061 SE PYRAMID RD, PORT ST LUCIE, FL 34952-5827
(407) 619-5939
Mailing address
2061 SE PYRAMID RD, PORT ST LUCIE, FL 34952-5827

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN1294382
FL

Other

Enumeration date
11/13/2017
Last updated
11/13/2017
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