Healthcare Provider Details

I. General information

NPI: 1447254040
Provider Name (Legal Business Name): DANIEL DEBO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4415 AICHOLTZ RD STE 100
CINCINNATI OH
45245-1506
US

IV. Provider business mailing address

9200 S DADELAND BLVD STE 800
MIAMI FL
33156-2758
US

V. Phone/Fax

Practice location:
  • Phone: 513-751-6667
  • Fax: 513-587-0470
Mailing address:
  • Phone: 786-530-3820
  • Fax: 305-675-3378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number34.004729
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: