| Doctor Name: | PAMELA REGINA DEPIOLA |
| NPI Number: | 1902058415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 1328792 |
| Business Practice Address: | 16401 Nw 2nd Ave Suite 203 N Miami Beach, FL - 331696036 |
| Business Phone Number: | 3059990009 |
| Business Fax Number: | |
| Mailing Address: | 19559 Ne 10th Ave, N MIAMI BEACH |
| State: | FL |
| Postal Code: | 331793501 |
| Phone Number: | 3056513261 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2008 |
| NPI Last Update Date: | 07/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 1328792 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |