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Contact Information

DEBORAH L GHANDOUR, PA-C, DHSC
320 3RD ST
SUITE B
NEPTUNE BEACH, FL32266
 Phone: 904-853-6143
 Fax: 904-853-6137
 Website: http://www.seabreezemed.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DEBORAH L GHANDOUR · (Female)

NPI Number 1053329599
Status Active
Credentials PA-C, DHSC
Entity Individual
Enumeration date 08/03/2006
Last updated 12/16/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9101774
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - (Acute Care)
    800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
  • BAPTIST MEDICAL CENTER BEACHES - (Acute Care)
    1350 13TH AVE S
    JACKSONVILLE BEACH, FL 32250
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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