Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | 203 | FL |
NPI | 1144895152 |
---|---|
Provider Name | Cara Michelle Negri |
First Address | Gainesville, FL 32606-5601 |
Second Address | Gainesville, FL 32606-5601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2021 |
Last Update Date | 21/05/2021 |