Provider Demographics
NPI:1831436054
Name:DEL MORAL, DEBORAH (BS)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:DEL MORAL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5798 S SEMORAN BLVD
Mailing Address - Street 2:STE. #15 BLDG F
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-4829
Mailing Address - Country:US
Mailing Address - Phone:407-730-3973
Mailing Address - Fax:
Practice Address - Street 1:5798 S SEMORAN BLVD
Practice Address - Street 2:STE. #15 BLDG F
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-4829
Practice Address - Country:US
Practice Address - Phone:407-730-3973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD456173625510OtherDRIVER'S LICENSE NUMBER