Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA 58161 | FL |
NPI | 1407188873 |
---|---|
Provider Name | Bonnie Ratcliff |
First Address | Spring Hill, FL 34610-3014 |
Second Address | Spring Hill, FL 34610-3014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2010 |
Last Update Date | 09/02/2010 |