Individual
DEBRA B BALLIRAM MANOHALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1447 MEDICAL PARK BLVD, SUITE 300, WELLINGTON, FL 33414-3164
(561) 790-5990
(561) 790-5952
Mailing address
770 NORTHPOINT PARKWAY, SUITE 102, WEST PALM BEACH, FL 33407
(561) 275-7604
(561) 802-5385
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS10052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280386100
—
FL
Enumeration date
11/01/2007
Last updated
09/25/2017
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