Individual
MS. DEBORAH SUSAN COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1223 GATEWAY DR STE 1F, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 956-2539
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1981
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN1560912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005447300
—
FL
01
—
GC694X
MEDICARE
FL
Enumeration date
09/21/2011
Last updated
08/26/2019
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