Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 200701541 | NC |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | C55008 | CA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME100477 | FL |
NPI | 1679511174 |
---|---|
Provider Name | Dr. Sophia Esther Deben |
First Address | Aventura, FL 33180 |
Second Address | Aventura, FL 33180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 26/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P14639 | (02) | MD |