Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 9399525 | FL |
NPI | 1245759851 |
---|---|
Provider Name | Chelsea Hakeem |
First Address | Sarasota, FL 34233-2364 |
Second Address | Lakewood Ranch, FL 34202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2017 |
Last Update Date | 09/10/2017 |