Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW120 | FL |
NPI | 1043559297 |
---|---|
Provider Name | Ms. Deborah Digiacomo |
First Address | Hallandale Beach, FL 33009-4823 |
Second Address | Hallandale Beach, FL 33009-4823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2013 |
Last Update Date | 07/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
340159600 | (05) | FL |