Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 046787 | CT |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 065994 | GA |
NPI | 1063655603 |
---|---|
Provider Name | Catalina Bazacliu |
First Address | Gainesville, FL 32610-0371 |
Second Address | Gainesville, FL 32610-0371 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 03/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003108886A | (05) | GA |
011053400 | (05) | FL |