Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2955372 | FL |
NPI | 1003113960 |
---|---|
Provider Name | Aymara Del Pino |
First Address | Orlando, FL 32803-5734 |
Second Address | Orlando, FL 32803-5443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2011 |
Last Update Date | 07/04/2017 |