Provider Demographics
NPI:1952576589
Name:FLORIO, DEBRA (LMT)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:FLORIO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26381 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 136
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7803
Mailing Address - Country:US
Mailing Address - Phone:239-221-0921
Mailing Address - Fax:239-215-8463
Practice Address - Street 1:26381 S TAMIAMI TRL
Practice Address - Street 2:SUITE 136
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7803
Practice Address - Country:US
Practice Address - Phone:239-221-0921
Practice Address - Fax:239-215-8463
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA38601174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist