Deborah Ivane Vydra
DO | Pediatrics | Female
Deborah Ivane Vydra, DO is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics. Deborah Ivane Vydra is also known as
Deborah Ivane Wirawan.
Current practice location of Deborah Ivane Vydra is
8990 R G Skinner Pkwy, Jacksonville, Florida - 32256-4020. She can be contacted on phone at
904-519-6555.
Deborah Ivane Vydra is a sole proprietor of her business.
NPI number (Unique professional ID) for Deborah Ivane Vydra is
1003313487 which was assigned by NPPES on 11 Apr, 2018 and it was last updated on 22 Dec, 2021.
Deborah Ivane Vydra license number is
OS17827 for Pediatrics (208000000X) in Florida.
Deborah Ivane Vydra is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Deborah Ivane Vydra basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Deborah Ivane Vydra |
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| Other Name : | Deborah Ivane Wirawan |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Deborah Ivane Vydra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8990 R G Skinner Pkwy
Jacksonville, FL, 32256-4020
United States |
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| Phone Number : | 904-519-6555 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003313487 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Apr, 2018 |
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| Last Updated On : | 22 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deborah Ivane Vydra are as mentioned. Primary taxonomy code for Deborah Ivane Vydra, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | OS17827 | FL |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8990 R G Skinner Pkwy
Jacksonville, FL, 32256-4020
United States |
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Business Location:
Patients can refer following map for directions to
Deborah Ivane Vydra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.