Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | ME92290 | FL |
NPI | 1164463394 |
---|---|
Provider Name | Arabela Cristina Stock |
First Address | St Petersburg, FL 33701-1547 |
Second Address | St Petersburg, FL 33701-1547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 03/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
271901100 | (05) | FL |
H18727 | (02) | FL |