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Contact Information

DEBORAH J EDGEWORTH, MD
120 N RICHARD JACKSON BLVD STE 130
PANAMA CITY BEACH, FL32407
 Phone: 850-608-6405
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DEBORAH J EDGEWORTH · (Female)

NPI Number 1003802935
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2005
Last updated 08/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME75682
  • MS License # 14000
  • FL Medicaid 255106300
Hospital affiliation(s)
  • BAY MEDICAL CENTER SACRED HEART HEALTH SYSTEM - (Acute Care)
    615 N BONITA AVE
    PANAMA CITY, FL 32401
  • SACRED HEART HOSPITAL ON THE EMERALD COAST - (Acute Care)
    7800 US HWY 98 W
    MIRAMAR BEACH, FL 32550
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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