Basic Information
Provider Information
NPI: 1750593919
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALANI
FirstName: DEBORAH
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: ARNP, DNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14219 SW 125TH AVENUE
Address2:  
City: MIAMI
State: FL
PostalCode: 33186
CountryCode: US
TelephoneNumber: 3056666511
FaxNumber: 3056628291
Practice Location
Address1: 14707 S DIXIE HWY
Address2: SUITE 204
City: MIAMI
State: FL
PostalCode: 331767948
CountryCode: US
TelephoneNumber: 3052567336
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/03/2007
LastUpdateDate: 06/08/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200X1576092FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
363LP0808X1576092FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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