Individual
MS. DEBRA ANN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
366 E GRAVES AVE, STE A, ORANGE CITY, FL 32763-5266
(386) 774-0712
(386) 456-0712
Mailing address
366 E GRAVES AVE, STE A, ORANGE CITY, FL 32763-5266
(386) 774-0712
(386) 456-0712
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114344
NON-PAR PROVIDER AETNA
FL
01
—
Y8947
NON-PAR PROVIDER BCBS
FL
Enumeration date
05/13/2006
Last updated
01/31/2008
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