Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ME81808 | FL |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | ME81808 | FL |
NPI | 1265428296 |
---|---|
Provider Name | Ariel F. Cole |
First Address | Winter Park, FL 32792-4143 |
Second Address | Winter Park, FL 32792-4143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 31/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
264412600 | (05) | FL |
H66647 | (02) | FL |