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NPI Code Detail

MEDICARE: MRS. DEBORAH COMBS LEWIS BA

MEDICARE:  MRS. DEBORAH COMBS LEWIS  BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2376K00000XNurse's AideFL

General Provider Information

NPI Number : 1558463000
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH COMBS LEWIS BA
Provider Business Mailing Address
First Line : 7320 SE HOBE TER
Second Line :
City : HOBE SOUND
State : FL
Zip : 33455-6124
Country : US
Telephone Number : 772-546-2432
Fax Number :
Provider Business Practice Location Address
First Line : 4500 W MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-4823
Country : US
Telephone Number : 772-468-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2006
Last Update Date : 09/11/2025

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Directions to “ MRS. DEBORAH COMBS LEWIS BA” Practice Location

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