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Provider Information for 1740286756

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DEANNA KINGSLEY SPRINGER M.D.

Gender: FEMALE

Individual NPI: 1740286756

Calendar   Last Updated:  2020-05-27
  Certification Date:  2020-05-27

Details

Name Value
NPI 1740286756
Enumeration Date 2005-06-23
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 10150 HIGHLAND MANOR DR STE 240
TAMPA, FL 33610-9750
United States

Phone: 813-259-1013 | Fax: 813-254-0396
View Map External Link
Primary Practice Address 10150 HIGHLAND MANOR DR STE 240
TAMPA, FL 33610-9750
United States

Phone: 813-259-1013 | Fax: 813-254-0396
View Map External Link
Secondary Practice Address 1425 HAND AVE STE E
ORMOND BEACH, FL 32174-1135
United States

Phone: 386-672-4939 | Fax: 386-672-5656
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other TRICARE FL 1740286756
Other BCBS FL 57754
Other RAILROAD FL P01111030
MEDICAID FL 007276600
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME81902