Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME124637 | FL |
NPI | 1003115684 |
---|---|
Provider Name | Alberto Juan Duboy |
First Address | Tampa, FL 33612-4742 |
Second Address | Tampa, FL 33612-4742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2011 |
Last Update Date | 12/04/2018 |