MEDICARE: DR. DEBORAH SHLIAN M.D.

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
1	261QP2300X	Primary Care Clinic/Center	ME75281	FL

General Provider Information

NPI Number	:	1033460514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH SHLIAN M.D.

Provider Business Mailing Address
First Line	:	3148 NW 63RD ST
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-3311
Country	:	US
Telephone Number	:	561-988-8780
Fax Number	:

Provider Business Practice Location Address
First Line	:	3148 NW 63RD ST
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-3311
Country	:	US
Telephone Number	:	561-988-8780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	09/25/2012

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