Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PO2886 | FL |
NPI | 1598848491 |
---|---|
Provider Name | Dr. Deborah Ann Jones |
First Address | Fort Lauderdale, FL 33316-2840 |
Second Address | Fort Lauderdale, FL 33316-2840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 29/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U83282 | (02) | FL |