Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9361210 | FL |
NPI | 1003091737 |
---|---|
Provider Name | Mrs. Deborah Dicastro-Schaffer |
First Address | Plantation, FL 33324-2703 |
Second Address | Plantation, FL 33324-2703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2007 |
Last Update Date | 30/10/2015 |