Individual
DR. PATRICIA MARIA DEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1050 NW 15TH ST STE 215A, BOCA RATON, FL 33486-1342
(561) 392-7704
(561) 392-8102
Mailing address
1050 NW 15TH ST STE 215A, BOCA RATON, FL 33486-1342
(561) 392-7704
(561) 392-8103
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
250566
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
ME142240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03099447
—
NY
Enumeration date
10/07/2008
Last updated
10/21/2020
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