Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005558-1 | NY |
NPI | 1154332021 |
---|---|
Provider Name | Catherine Stanimirov |
First Address | Tampa, FL 33607-5152 |
Second Address | Tampa, FL 33607-6545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 10/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02049838 | (05) | NY |
U79861 | (02) | NY |