Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME102785 | FL |
NPI | 1295709756 |
---|---|
Provider Name | Denise Guidetti |
First Address | West Palm Beach, FL 33407 |
Second Address | Palm Beach Gardens, FL 33410-2911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 25/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001322800 | (05) | FL |
A60348 | (02) | NY |
EL709Z | (02) | FL |