Deborah Tisdale
Emergency Physician
1843 Nw 96th Ave
Plantation
, Florida 33322-5626
Deborah Tisdale
Emergency Physician
1843 Nw 96th Ave
Plantation
, Florida 33322-5626
(954) 472-2512
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Deborah Tisdale
- 1843 Nw 96th Ave
- Plantation, FL
- Zip : 33322-5626
- Phone : (954) 472-2512
Second Address
- Deborah Tisdale
- 1843 Nw 96th Ave
- Plantation, FL
- Zip : 33322-5626
- Phone : (954) 472-2512
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 00016984 | AL |
National Provider Identifier
| NPI | 1013081249 |
|---|---|
| Provider Name | Deborah Tisdale |
| First Address | Plantation, FL 33322-5626 |
| Second Address | Plantation, FL 33322-5626 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2006 |
| Last Update Date | 17/08/2007 |
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.