Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME110107 | FL |
N | 2080P0207X | Pediatric Hematology-Oncologist | 99726 | MT |
Y | 2080P0207X | Pediatric Hematology-Oncologist | ME110107 | FL |
NPI | 1063670669 |
---|---|
Provider Name | Britni Hill Looper |
First Address | St Petersburg, FL 33701-4804 |
Second Address | St Petersburg, FL 33701-4804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 23/06/2021 |