Provider Demographics
NPI:1649447301
Name:OZNER, DEBORAH ALLISON (DO)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ALLISON
Last Name:OZNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:ALLISON
Other - Last Name:OZNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:OCHLOCKNEE
Mailing Address - State:GA
Mailing Address - Zip Code:31773-0309
Mailing Address - Country:US
Mailing Address - Phone:229-224-8220
Mailing Address - Fax:
Practice Address - Street 1:206 2ND ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1042
Practice Address - Country:US
Practice Address - Phone:941-746-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7907207P00000X
AL2412207P00000X
GA84827207P00000X
AZ009922207P00000X
FLOS11672207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty