Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | ME86929 | FL |
NPI | 1548256993 |
---|---|
Provider Name | Deborah Pevsner |
First Address | Miami, FL 33136-2137 |
Second Address | Miami, FL 33136-2137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 11/04/2014 |