Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME0042431 | FL |
NPI | 1073593711 |
---|---|
Provider Name | David Y Globerman |
First Address | Hollywood, FL 33021-8256 |
Second Address | Hollywood, FL 33021-8256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 10/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D21232 | (02) |