Deborah Ivane Vydra
Pediatrician
8990 R G Skinner Pkwy
Jacksonville
, Florida 32256-4020
Deborah Ivane Vydra
Pediatrician
8990 R G Skinner Pkwy
Jacksonville
, Florida 32256-4020
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Deborah Ivane Vydra
- 8990 R G Skinner Pkwy
- Jacksonville, FL
- Zip : 32256-4020
- Phone :
Second Address
- Deborah Ivane Vydra
- 8990 R G Skinner Pkwy
- Jacksonville, FL
- Zip : 32256-4020
- Phone : (904) 519-6555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | OS17827 | FL |
National Provider Identifier
| NPI | 1003313487 |
|---|---|
| Provider Name | Deborah Ivane Vydra |
| First Address | Jacksonville, FL 32256-4020 |
| Second Address | Jacksonville, FL 32256-4020 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2018 |
| Last Update Date | 22/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.