Tantillo, Debra J
Tantillo, Debra J is an sole proprietor health care provider with primary practice located at 3115 Nw 10Th Ter Ste 103 , Oakland Park FL 33309-5937. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tantillo, Debra J can be contacted via phone (954) 236-6676.Contact Information
Primary practice address
3115 Nw 10Th Ter Ste 103
Oakland Park FL 33309-5937
Phone: (954) 236-6676
Fax: (954) 772-1023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW5538 | Florida |
Profile Details
| NPI number | 1376822981 |
|---|---|
| LBN Legal business name | Tantillo, Debra J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2011 |
| Last updated | Sep 12th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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