Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A112476 | CA |
N | 208000000X | Pediatrician | ME124993 | FL |
Y | 2080P0207X | Pediatric Hematology-Oncologist | ME124993 | FL |
NPI | 1023319761 |
---|---|
Provider Name | Ana Aguilar |
First Address | Orlando, FL 32806-2032 |
Second Address | Orlando, FL 32806-2032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2010 |
Last Update Date | 16/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015426600 | (05) | FL |
ME124993 | MEDICAL LICENSE (01) | FL |