Individual
DEBRA DOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
463 CARLTON ST, WAUCHULA, FL 33873-3400
(863) 767-0522
(863) 767-0572
Mailing address
463 CARLTON ST, WAUCHULA, FL 33873-3400
(863) 767-0522
(863) 767-0572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036075766
IL
207R00000X
Internal Medicine Physician
C54845
CA
207R00000X
Internal Medicine Physician
ME111252
FL
207RC0000X
Cardiovascular Disease Physician
036.075766
IL
207RC0000X
Cardiovascular Disease Physician
76218
MN
207RC0000X
Cardiovascular Disease Physician
C54845
CA
207RC0000X
Cardiovascular Disease Physician
Primary
ME111252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008155800
—
FL
Enumeration date
04/30/2011
Last updated
03/15/2024
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