Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | CH0005551 | FL |
NPI | 1710952254 |
---|---|
Provider Name | David Neal Migdal |
First Address | Royal Palm Beach, FL 33411-4338 |
Second Address | Royal Palm Beach, FL 33411-4338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 04/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051169200 | (05) | FL |
22404 | BCBS (01) | FL |
44-02057 | UHC (01) | FL |
U08588 | (02) |