Individual
DEBORAH PITTENGER TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
265 E ROLLINS ST STE 5300, ORLANDO, FL 32804-5519
(407) 821-3555
Mailing address
265 E ROLLINS ST STE 5300, ORLANDO, FL 32804-5519
(407) 821-3555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2751012
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN2751012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304096800
—
FL
01
—
500025318
RAILROAD MEDICARE
FL
01
—
ARNP2751012
MEDICAL LICENSE
FL
01
—
Y0691
BCBS
FL
Enumeration date
05/08/2006
Last updated
03/01/2023
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