Individual
DR. DEBORAH SUE MCKINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1344 22ND ST S, ST PETERSBURG, FL 33712-2744
(727) 824-8181
(727) 824-8134
Mailing address
PO BOX 10549, ST PETERSBURG, FL 33733-0549
(727) 824-8181
(727) 824-8134
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME57321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053248700
—
FL
Enumeration date
01/31/2006
Last updated
01/17/2020
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