DEBRA DOUD MD NPI 1972894590

NPI Information

NPI: 1972894590
Provider Name: DEBRA DOUD, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
463 CARLTON ST
WAUCHULA, FL
ZIP 33873
Phone: (863) 767-0522
Get Directions

Debra Doud, MD is a cardiovascular disease internal medicine in Wauchula, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Debra Doud, MD NPI is 1972894590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

463 CARLTON ST
WAUCHULA, FL
ZIP 33873-400
Phone: (863) 767-0522
Fax: (863) 767-0572

The NPI 1972894590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2011 and was last updated on 3/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		036075766	ILLINOIS	No
2	207R00000X	Internal Medicine		ME111252	FLORIDA	No
3	207R00000X	Internal Medicine		C54845	CALIFORNIA	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	036.075766	ILLINOIS	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	C54845	CALIFORNIA	No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	76218	MINNESOTA	No
7	207RC0000X	Internal Medicine	Cardiovascular Disease	ME111252	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008155800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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