Deborah Lynn Renelus
Family Doctor - Sports Medicine
4450 E Fletcher Ave Ste C
Tampa
, Florida 33613-4907
Deborah Lynn Renelus
Family Doctor - Sports Medicine
4450 E Fletcher Ave Ste C
Tampa
, Florida 33613-4907
(813) 336-2112
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Deborah Lynn Renelus
- 4450 E Fletcher Ave Ste C
- Tampa, FL
- Zip : 33613-4907
- Fax : (813) 336-2112
- Phone : (813) 540-4777
Second Address
- Deborah Lynn Renelus
- 4450 E Fletcher Ave Ste C
- Tampa, FL
- Zip : 33613-4907
- Fax : (813) 336-2112
- Phone : (813) 540-4777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | ME124988 | FL |
National Provider Identifier
| NPI | 1275844482 |
|---|---|
| Provider Name | Deborah Lynn Renelus |
| First Address | Tampa, FL 33613-4907 |
| Second Address | Tampa, FL 33613-4907 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2010 |
| Last Update Date | 25/03/2021 |
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.