Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME115170 | FL |
NPI | 1083898449 |
---|---|
Provider Name | Dr. Aaditya Mahendra Vora |
First Address | Jacksonville, FL 32203-3667 |
Second Address | Jacksonville, FL 32207-8210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2007 |
Last Update Date | 15/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009278800 | (05) | FL |