Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 35.090367 | OH |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME121555 | FL |
NPI | 1093745028 |
---|---|
Provider Name | Dr. Anthony Ian Nunez |
First Address | Kissimmee, FL 34741-4936 |
Second Address | Kissimmee, FL 34741-4937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 10/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
013400800 | (05) | FL |
0254957 | (05) | OH |
036114512 | (05) | IL |
F74421 | (02) | IL |