Individual
DEBORAH JANE KUIPER-TOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4780 SW 64TH AVE STE 101, DAVIE, FL 33314-4400
(954) 434-1705
(954) 434-1882
Mailing address
4780 SW 64TH AVE STE 103, DAVIE, FL 33314-4400
(954) 434-1705
(954) 434-1882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA9102145
FL
363A00000X
Physician Assistant
PA9102145
FL
Other
Enumeration date
02/11/2009
Last updated
05/14/2021
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