Organization
DEBRA HANLEY DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY NASH CMA (AAMA) (OFFICE MANAGER)
(352) 332-8442
Entity
Organization
Contact information
Practice address
100 SW 75TH ST, STE 205, GAINESVILLE, FL 32607-5779
(352) 332-8442
(352) 332-8443
Mailing address
100 SW 75TH ST, STE 205, GAINESVILLE, FL 32607-5779
(352) 332-8442
(352) 332-8443
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO 2070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340163400
—
FL
Enumeration date
11/26/2007
Last updated
07/26/2011
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