Anita Deborah
SOUTHCARE MEDICAL LLC


Address: 110 Curran Ln, Lafayette, LA 70506-7222
Phone: 3377067700

Anita Deborah (NPI# 1770747834, PAC ID# 0749451284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1770747834
PAC ID by PECOS 0749451284
Professional Enrollment ID I20110914000211
Full Name Anita Deborah
Organization Legal Name SOUTHCARE MEDICAL LLC
Address 110 Curran Ln
Lafayette
LA 70506-7222
Phone Number 3377067700
Gender F
Graduation Year 2004
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 4789808197
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190034 ABBEVILLE GENERAL HOSPITAL
190102 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
190002 LAFAYETTE GENERAL MEDICAL CENTER
190064 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
191322 ABROM KAPLAN MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
1305 N State St, Abbeville, LA 70510-2825 3374226240 SOUTHCARE MEDICAL LLC
110 Curran Ln, Lafayette, LA 70506-7222 3377067700 SOUTHCARE MEDICAL LLC

Organization Information

Organization Legal Name SOUTHCARE MEDICAL LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Simone Adel Pitre Nurse Practitioner Southcare Medical LLC 1305 N State St, Abbeville, LA 70510-2825
Budi Nugroho Sugeng Pediatric Medicine Southcare Medical LLC 1305 N State St, Abbeville, LA 70510-2825

Office Location

Street Address 110 CURRAN LN
City LAFAYETTE
State LA
Zip 70506-7222

Physicians in the same zip code

Name Specialty Organization Address
Daniel J Frey General Surgery 501 W St Mary Blvd, Suite 420, Lafayette, LA 70506
Raphael J Higginbotham Nephrology Kidney Treatment Options Center of Lafayette, LLC 301 Alcide Dominique Dr, Lafayette, LA 70506-1052
Michael K Liu Nephrology Kidney Treatment Options Center of Lafayette, LLC 301 Alcide Dominique Dr, Lafayette, LA 70506-1052
Danna P Halpin Clinical Social Worker 2310 W Saint Mary Blvd, Lafayette, LA 70506-2512
John J Broussard Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Roberta B Schexnailder Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Maisie M Hargett Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Michael N Sheffield Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Amanda H Wallace Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Roxanne H Touchet Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
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Competitor

Search similar physicians

City LAFAYETTE
Zip Code 70506
Specialty INTERNAL MEDICINE
City + Specialty LAFAYETTE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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