Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | APRN871402 | FL |
NPI | 1245371731 |
---|---|
Provider Name | D A Kobliska |
First Address | Tampa, FL 33681-0161 |
Second Address | Tampa, FL 33625-4022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 29/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ARNP871402 | STATE LICENSE (01) | FL |