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Individual

DEANNA RAE SAMPLE FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
600 N HIATUS RD, SUITE 203, PEMBROKE PINES, FL 33026-5207
(954) 392-7157
(954) 443-4941
Mailing address
2461 NE 14TH STREET CSWY, POMPANO BEACH, FL 33062-8229

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102756
FL

Other

Enumeration date
09/22/2006
Last updated
04/18/2013
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