Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME145713 | FL |
NPI | 1164840948 |
---|---|
Provider Name | David Alejandro Silva Iacobelli |
First Address | Miami, FL 33125-1624 |
Second Address | Miami, FL 33125-1624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 27/09/2020 |