Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME61610 | FL |
NPI | 1316974322 |
---|---|
Provider Name | Dr. Deborah Ann Mulligan |
First Address | Sunrise, FL 33323-2865 |
Second Address | Hollywood, FL 33021-5421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14617 | BLUE SHIELD (01) | FL |
F17759 | (02) |