Individual
DR. DEANNA KINGSLEY SPRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
740 DUNLAWTON AVE, PORT ORANGE, FL 32127-4239
(386) 763-1000
(386) 481-6399
Mailing address
740 DUNLAWTON AVE, PORT ORANGE, FL 32127-4239
(386) 763-1000
(386) 481-6399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME81902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007276600
—
FL
01
—
1740286756
TRICARE
FL
01
—
57754
BCBS
FL
01
—
P01111030
RAILROAD
FL
Enumeration date
06/23/2005
Last updated
06/19/2024
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