Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0055709 | FL |
NPI | 1003864000 |
---|---|
Provider Name | Dr. Barbara J Gans |
First Address | Orlando, FL 32803-5722 |
Second Address | Orlando, FL 32803-5722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 01/09/2020 |