Individual ProviderDebora Lynn RyderNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3531 Little Rd, Trinity, FL 34655-1811(727) 375-1548(352) 567-0188PECOS EnrollmentBased on the most recent information from CMS, provider Debora Lynn Ryder does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:24 AM.Profile DetailsProvider ID1912154477Provider TypeIndividualFull NameRyder, Debora LynnTitleMrs.CredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date8/26/2008Last Updated4/22/2022Contact InformationPractice LocationPractice Address3531 Little Rd, Trinity, FL 34655-1811Phone(727) 375-1548Fax(727) 375-1557Mailing LocationMailing Address38135 Market Sq, Zephyrhills, FL 33542-7505Phone(352) 567-0188Fax(813) 355-5101Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN2943222FloridaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN2943222FloridaCode363LA2100XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN2943222FloridaProvider IdentifiersIDDescriptionIssuerID008830200DescriptionMedicaidIssuerUnlistedFlorida