Provider Demographics
NPI:1922104777
Name:VIGLIONE, DEBORAH D (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:D
Last Name:VIGLIONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 NIGHTINGALE LN
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-7205
Mailing Address - Country:US
Mailing Address - Phone:850-934-8138
Mailing Address - Fax:850-934-6667
Practice Address - Street 1:103 NIGHTINGALE LN
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-7205
Practice Address - Country:US
Practice Address - Phone:850-934-8138
Practice Address - Fax:850-934-6667
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65188207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1914Medicare ID - Type Unspecified
F25157Medicare UPIN