Individual
KEVIN D DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1115 E. RIDGEWOOD STREET, ORLANDO, FL 32803
(407) 841-1100
(407) 841-0774
Mailing address
326 N MILLS AVE, ORLANDO, FL 32803-5734
(407) 841-1100
(407) 649-8677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS10699
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
334080
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS10699
FL
207RP1001X
Pulmonary Disease Physician
334080
NY
207RP1001X
Pulmonary Disease Physician
Primary
OS10699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001667000
—
FL
Enumeration date
08/11/2005
Last updated
05/14/2025
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