Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME88222 | FL |
Y | 207RH0003X | Hematology & Oncology | ME88222 | FL |
NPI | 1154387033 |
---|---|
Provider Name | Denise L Pereira |
First Address | Miami, FL 33136-1002 |
Second Address | Miami, FL 33136-1002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 26/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2679060-00 | (05) | FL |
71956 | (02) | FL |
G55496 | (02) | FL |