Provider Demographics
NPI:1679511174
Name:DEBEN, SOPHIA ESTHER (MD)
Entity Type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:ESTHER
Last Name:DEBEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20604 E. DIXIE HWY
Mailing Address - Street 2:ORTHOPAEDIC SPECIALISTS OF MIAMI BEACH
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:786-923-3000
Mailing Address - Fax:786-565-9446
Practice Address - Street 1:20601 E. DIXIE HWY
Practice Address - Street 2:ORTHOPAEDIC SPECIALISTS OF MIAMI BEACH
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:786-923-3000
Practice Address - Fax:786-565-9446
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC55008207XX0004X, 207XX0004X
FLME100477207XX0004X
NC200701541207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP14639Medicare UPIN