person
Debbie Michelle Sevilla, MD
General Practice Physician in Port St Lucie, Florida
NPI 1245737758

Debbie Michelle Sevilla is a General Practice Physician based in Deerfield Beach, FL. Debbie Michelle Sevilla practices in Port St Lucie, FL and has the professional credentials of MD. The NPI Number for Debbie Michelle Sevilla is 1245737758 and holds a License No. 21454 (Florida).

The current practice location address for Debbie Michelle Sevilla is 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL and can be reached out via phone at 772-905-2555 and via fax at 772-336-8153.

Location: 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL, 33442-4189
person
Provider Profile Details
NPI Number
1245737758
Provider Name
Debbie Michelle Sevilla
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL, 33442-4189
Phone Number
772-905-2555
Fax Number
772-336-8153
Provider Enumeration Date
04/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114251500 05 FL
N9218 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
672 Sw Prima Vista Blvd Ste 101
City
State
Zip
34983-1820
Phone Number
772-905-2555
Fax Number
772-336-8153
person
Provider Business Mailing Address Details
Address
672 Sw Prima Vista Blvd Ste 101
City
State
Zip
34983-1820
Phone Number
772-905-2555
Fax Number
772-336-8153
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
21454 ()
Definition
Definition to come...
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