Provider Demographics
NPI:1023052313
Name:FLYNN, DEBRA (DC)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 KENNEDY DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4134
Mailing Address - Country:US
Mailing Address - Phone:305-296-5626
Mailing Address - Fax:305-293-0010
Practice Address - Street 1:1010 KENNEDY DR
Practice Address - Street 2:SUITE 401
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4134
Practice Address - Country:US
Practice Address - Phone:305-296-5626
Practice Address - Fax:305-293-0010
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL773710OtherBLUE CROSS BLUE SHEILD
FL773710OtherBLUE CROSS BLUE SHEILD