Individual
DEBORAH M GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1389 S US 301, SUMTERVILLE, FL 33585-5143
(352) 793-5900
(352) 793-8050
Mailing address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
(352) 793-8050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3075592
FL
363LF0000X
Family Nurse Practitioner
ARNP3075592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269859500
MEDICAID GRP
FL
05
—
306343700
—
FL
01
—
77940
BCBS
FL
01
—
77940
BCBS GRP
—
01
—
ARNP3075592
STATE MEDICAL LICENSE
FL
01
—
CF1412
MEDICARE RR GRP
FL
01
—
P00684347
MEDICARE RR
FL
Enumeration date
07/26/2006
Last updated
10/19/2018
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