Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DTP639 | FL |
Y | 213EG0000X | General Practice | DTP639 | FL |
N | 1223P0700X | Prosthodontist | DTP639 | FL |
NPI | 1053860924 |
---|---|
Provider Name | Ana Paula Dias Ribeiro |
First Address | Gainesville, FL 32610-0415 |
Second Address | Gainesville, FL 32610-0415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2016 |
Last Update Date | 03/10/2016 |