Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DN-12399 | FL |
NPI | 1013017730 |
---|---|
Provider Name | Dr. Deborah Brown Sappington |
First Address | Gainesville, FL 32606-4598 |
Second Address | Gainesville, FL 32608-8104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 08/07/2007 |