Healthcare Provider Details

I. General information

NPI: 1548333149
Provider Name (Legal Business Name): HAROLD ENRIQUE DEULOFEUT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8430 W BROWARD BLVD SUITE 300
PLANTATION FL
33324
US

IV. Provider business mailing address

8430 W BROWARD BLVD SUITE 300
PLANTATION FL
33324
US

V. Phone/Fax

Practice location:
  • Phone: 954-722-0300
  • Fax: 954-597-0291
Mailing address:
  • Phone: 954-722-0300
  • Fax: 954-597-0291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME17717
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: