DEBRA H GEOTIS


Address: 2061 Se Pyramid Rd, Port St Lucie, FL 34952-5827
Phone: 4076195939

DEBRA H GEOTIS (NPI# 1134632144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134632144
Entity Type Individual
Full Name DEBRA H GEOTIS
Credential RN
Practice Address 2061 Se Pyramid Rd
Port St Lucie
FL 34952-5827
Practice Telephone 4076195939
Enumeration Date 2017-11-13
Last Update Date 2017-11-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
RN1294382 FL Nursing Service Providers

Office Location

Street Address 2061 SE PYRAMID RD
City PORT ST LUCIE
State FL
Zip Code 34952-5827

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1780194464 Doctor's Choice Medical Center Clinic/Center 9164 S Us Highway 1, Port St Lucie, FL 34952 2017-10-06
1801305644 Thandiwe Daley Behavior Technician 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 2017-09-25
1700309408 Lagrand Evan Andrews Assistant Behavior Analyst 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 2017-07-25
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Taxonomy Information

Taxonomy Code 163WA0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1194293779 Eileen Luongo Registered Nurse 8300 Sw 44th Ct, Davie, FL 33328-2993 2018-11-13
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1295855724 Marleen Kay Mcclatchy Registered Nurse 8090 Se River Ln, Stuart, FL 34997-7363 2007-03-29
1710086293 Sharon Hart Registered Nurse 5067 Tamiami Trl E, Naples, FL 34113-4128 2006-09-21
1942202361 Linda M Register Registered Nurse 3275 Nw 99th Way, Coral Springs, FL 33065-4024 2005-08-15
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Competitor

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City PORT ST LUCIE
Zip Code 34952

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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