Provider Demographics
NPI:1922251990
Name:ASHCRAFT, DEBRA M (MD, LAC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:M
Last Name:ASHCRAFT
Suffix:
Gender:F
Credentials:MD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4828 THORPE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-1156
Mailing Address - Country:US
Mailing Address - Phone:407-447-5886
Mailing Address - Fax:407-447-5927
Practice Address - Street 1:4828 THORPE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-1156
Practice Address - Country:US
Practice Address - Phone:407-447-5886
Practice Address - Fax:407-447-5927
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1774171100000X
FLME49757208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics