Deanna R. Sample Flynn PA-C - Medical Physician Assistant in Pembroke Pines, Florida | ProviderWire

Full Name

Deanna Rae Sample Flynn PA-C

NPI Number

1700985819

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/22/2006

Specialties

(Taxonomies)

Name

Medical Physician Assistant

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9102756

Contact
Information

Purpose

Mailing

Location

Address

2461 NE 14TH STREET CSWY

600 N HIATUS RD

City

Pompano Beach

Pembroke Pines

State

FL

FL

Postal Code

33062-8229

33026-5207

Country

US

US

Telephone Number

N/A

(954) 392-7157

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/18/2013

Provider Address

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