Debra Proctor

NPI #1043604150 in New Port Richey, Florida

Provider Information

NPI Number: 1043604150
Entity Type: Individual
Name: Debra Proctor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 26, 2015
Last Updated: Mar 26, 2015

Practice Location

Address: 3809 GRAYTON DR
City: New Port Richey
State: Florida
ZIP Code: 34652-5714
Phone: (786) 266-1277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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