Individual
DR. KRISTINA DEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, DIVISION OF PEDIATRIC CRITICAL CARE, HOLLYWOOD, FL 33021-5421
(954) 265-6301
(954) 985-1434
Mailing address
1117 E HALLANDALE BEACH BLVD, HALLANDALE, FL 33009
(954) 457-8771
(954) 266-4006
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
MD00046775
WA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME104026
FL
Other
Enumeration date
08/22/2006
Last updated
06/19/2015
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