Organization Active NPI

Deborah D. Viglione M.D., LLC

  • Internal Medicine Physician
  • Gulf Breeze, FL
National Provider Identifier
1871773572
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME65188 Issued in FL
Legal business name
DEBORAH D. VIGLIONE M.D., LLC
Doing business as
DEBORAH D. VIGLIONE M.D., LLC
Practice address
103 Nightingale LN
Gulf Breeze, FL 32561-7205
Phone
(850) 934-8138
Fax
(850) 934-6667
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Dr. Deborah D Viglione, MDNPI 1922104777
Title
Doctor
Phone
(850) 934-8138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X ME65188 FL Primary

Addresses

Primary practice location

103 Nightingale LN
Gulf Breeze, FL 32561-7205

Mailing address

103 Nightingale LN
Gulf Breeze, FL 32561-7205
Phone (850) 934-8138

Other identifiers 1

IdentifierTypeStateIssuer
23860YOtherFLMEDICARE

Other names 1

  • DEBORAH D. VIGLIONE M.D., LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170228000372 FL Part B Supplier - Clinic/Group Practice 3577847102 Receives reassigned benefits from 1 practitioner
Practice locations: Gulf Breeze, FL

National Provider Directory

National Provider Directory

Locations

103 Nightingale Ln
Gulf Breeze, FL 32561
Phone (850) 932-8600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1871773572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617205",
            "telephone_number": "850-934-8138",
            "fax_number": "850-934-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617205",
            "telephone_number": "850-934-8138",
            "fax_number": "850-934-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH D. VIGLIONE M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "VIGLIONE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "850-934-8138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME65188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "23860Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEBORAH D. VIGLIONE M.D., LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.