Provider Demographics
NPI:1477556801
Name:DEBRA PRICE MD PA
Entity Type:Organization
Organization Name:DEBRA PRICE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-670-1111
Mailing Address - Street 1:7400 N KENDALL DR
Mailing Address - Street 2:STE 502
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7712
Mailing Address - Country:US
Mailing Address - Phone:305-670-1111
Mailing Address - Fax:305-670-1110
Practice Address - Street 1:7400 N KENDALL DR
Practice Address - Street 2:STE 502
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7712
Practice Address - Country:US
Practice Address - Phone:305-670-1111
Practice Address - Fax:305-670-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039031174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE34403Medicare UPIN
FL96682ZMedicare ID - Type Unspecified