Individual
DR. DEBERENIA ELIZABETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140A S FEDERAL HWY, DANIA, FL 33004-3623
(954) 922-7606
(954) 922-6898
Mailing address
1119 E TROPICAL WAY, PLANTATION, FL 33317-3343
(954) 583-8066
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME69884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252351500
—
FL
01
—
ME69884
LICENSE
FL
Enumeration date
11/03/2006
Last updated
07/09/2007
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