Healthcare Provider Details

I. General information

NPI: 1023482155
Provider Name (Legal Business Name): DEBRA BABCOCK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA MACDONALD

II. Dates (important events)

Enumeration Date: 12/01/2015
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1729 DAVID WALKER DR
TAVARES FL
32778-5745
US

IV. Provider business mailing address

PO BOX 4590
OCALA FL
34478-4590
US

V. Phone/Fax

Practice location:
  • Phone: 352-508-4455
  • Fax: 844-388-6186
Mailing address:
  • Phone: 352-350-8800
  • Fax: 352-350-2014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9380196
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: