Anna Debonaventura, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME181584 Issued in FL

Practice address

915 Middle River Dr Ste 209
Fort Lauderdale, FL 33304-3559

Phone

(954) 300-1736

Fax

(954) 676-1405

NPI assigned

Mar 31, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coral Ridge Pediatrics Inc.

  • Pediatrics Physician
  • Fort Lauderdale, FL
  • NPI 1366113961
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1508561531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR STE 209",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043559",
            "telephone_number": "954-300-1736",
            "fax_number": "954-676-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR STE 209",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043559",
            "telephone_number": "954-300-1736",
            "fax_number": "954-676-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBONAVENTURA",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME181584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felice De Stefano Hernandez, MD
• Natalia De Varona, APRN
• Shamecca Dean
• Madison Kate Dearman
• Niki Deblois, DPT
• Deborah Soffer, M.S., Associated Counseling Services, P.a.
• Deborah'S Nursing Services, Inc.
• Cheryl Andrea Debrosse, LMHC
• Roberta Penha Decastro, LMHC
• Andree S Decime, ADMINISTRATOR/CEO

• Pediatrics Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.