Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME89651 | FL |
Y | 2084N0402X | Child Neurologist | ME89651 | FL |
NPI | 1093806655 |
---|---|
Provider Name | Dina Dahan |
First Address | Orlando, FL 32825-4457 |
Second Address | Orlando, FL 32825-4457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 15/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
270472200 | (05) | FL |
I16707 | (02) | FL |