Individual
DR. DEBORAH I LAURIDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1890 W COUNTY RD 419, STE 2010, OVIEDO, FL 32765-4402
(407) 635-3340
(321) 842-1269
Mailing address
1890 W COUNTY RD 419, STE 2010, OVIEDO, FL 32765-4402
(407) 635-3340
(321) 842-1269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME95878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1322613
AETNA
FL
01
—
241711001
CIGNA
FL
05
—
275529700
—
FL
01
—
343030
WELLCARE
FL
01
—
53032
BLUE CROSS BLUE SHIELD
FL
01
—
7285783
AETNA
FL
Enumeration date
06/01/2006
Last updated
04/08/2022
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