Healthcare Provider Details

I. General information

NPI: 1629323860
Provider Name (Legal Business Name): DEBORAH HUFFMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2012
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 CONROY WINDERMERE RD STE 200
WINDERMERE FL
34786-8431
US

IV. Provider business mailing address

5276 COUNTY ROAD 209 S
GREEN COVE SPRINGS FL
32043-8181
US

V. Phone/Fax

Practice location:
  • Phone: 407-462-1254
  • Fax: 800-562-3430
Mailing address:
  • Phone: 904-343-0200
  • Fax: 904-839-1139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN2897672
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN2897672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: