Deborah Michelle Edwards

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC6349 Issued in FL

Legal business name

DEBORAH MICHELLE EDWARDS

Doing business as

Gulf Coast Cardi-O-Pulmonary Diagnostics

Practice address

2016 Plaza Delores
Clearwater, FL 33755-1133

Phone

(727) 812-5995

Fax

(727) 449-0780

NPI assigned

May 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Michelle Edwards

Title

Owner

Phone

(727) 812-5995

Specialties & licenses 1

Addresses

Other names 1

• Gulf Coast Cardi-O-Pulmonary Diagnostics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336192160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1334",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337571334",
            "telephone_number": "727-812-5995",
            "fax_number": "727-449-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 PLAZA DELORES",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551133",
            "telephone_number": "727-812-5995",
            "fax_number": "727-449-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH MICHELLE EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-812-5995"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC6349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Cardi-O-Pulmonary Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dedicated Senior Medical Center Clearwater, LLC.

• Health Service Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.