Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Deborah Lane Ghandour, PA-C, DHSC

Individual provider Medical Physician Assistant · NPI 1053329599

Dr. Deborah Lane Ghandour, PA-C, DHSC is a Physician Assistant in Jacksonville Beach, Florida. Qualified in 2001, 25 years ago. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1825 3rd St N Ste B
Jacksonville Beach, FL 32250-4840
Phone: (904) 595-5826
Fax: (904) 595-5827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9101774 (FL)

Record details

NPI number1053329599
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , DHSC
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated

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