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General NPI Number Information
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NPI Number | 1194851428
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Entity Type | Individual
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Provider Name | DEBORAH SUSAN CARLONE M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 971 NW 2ND ST
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City | MIAMI
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State | FL
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Zip | 33128-1205
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Country | US
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Telephone | 786-446-2300
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Fax | 305-325-3489
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Provider Business Mailing Address
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Address Line | 3505 S OCEAN DR #721
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2831
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Country | US
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Telephone | 954-924-8116
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME69475
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License Number State | FL
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