David Michael Debauche, PH.D.

Primary specialty

Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X

License

DI37838 Issued in FL

Practice address

10231 Arbor Side Dr
Tampa, FL 33647-2952

Phone

(813) 994-7945

NPI assigned

Sep 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1558556308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 ARBOR SIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472952",
            "telephone_number": "813-994-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 ARBOR SIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472952",
            "telephone_number": "813-994-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBAUCHE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "FL",
            "license": "DI37838",
            "primary": true
        },
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "NY",
            "license": "DEBAD1",
            "primary": false
        },
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "TN",
            "license": "ML0000018636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katryna Deary, APRN
• Elizabeth Michelle Deaton, LCSW
• Darcie M Deaver, NP-C
• Abigail Debacker, MD, RD, CNSC
• Kristinia Debarge
• Candace Brooke Boone Deberry, ARNP
• Kristianna Deblasio, FNP
• Ashley Deboeuf, M.D.
• Deborah a Trehy MD PA & Pamela a Padilla MD PA
• Deborah Laskowski

• Clinical Cytogenetics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Cytogenetics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.