Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 23405 | SC |
NPI | 1003805011 |
---|---|
Provider Name | David Anthony Florez |
First Address | North Charleston, SC 29406-9165 |
Second Address | North Charleston, SC 29406-9165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 31/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
234053 | (05) | SC |
H86389 | (02) |