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NPI Code Detail

MEDICARE: DEBRA ANN COSTANTINO ARNP

MEDICARE: DEBRA ANN COSTANTINO ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP1461542FL

General Provider Information

NPI Number : 1760540025
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA ANN COSTANTINO ARNP
Provider Business Mailing Address
First Line : 9910 SANDALFOOT BLVD
Second Line : SUITE 1
City : BOCA RATON
State : FL
Zip : 33428-6692
Country : US
Telephone Number : 561-883-3030
Fax Number : 561-852-7611
Provider Business Practice Location Address
First Line : 9910 SANDALFOOT BLVD
Second Line : SUITE 1
City : BOCA RATON
State : FL
Zip : 33428-6692
Country : US
Telephone Number : 561-883-3030
Fax Number : 561-852-7611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 06/06/2011

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