Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 33996 | CO |
Y | 2080P0202X | Pediatric Cardiologist | ME119937 | FL |
NPI | 1134296296 |
---|---|
Provider Name | Biagio Pietra |
First Address | Gainesville, FL 32610-0297 |
Second Address | Gainesville, FL 32610-0297 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 12/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012301800 | (05) | FL |
01339969 | (05) | CO |