Provider Demographics
NPI:1932247095
Name:GAROFALO, DEBRA JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:JEAN
Last Name:GAROFALO
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 1:2721 S PALM AIRE DR
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4207
Mailing Address - Country:US
Mailing Address - Phone:954-560-0578
Mailing Address - Fax:
Practice Address - Street 1:1280 S POWERLINE RD
Practice Address - Street 2:SUITE # 4
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4339
Practice Address - Country:US
Practice Address - Phone:954-560-0578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8846111N00000X
GACHIR006881111N00000X
NJ38MC00587400111N00000X
NY010002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU96169Medicare UPIN