Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | ME125343 | FL |
NPI | 1316974819 |
---|---|
Provider Name | Dr. Beatriz Gonzalez-Abella |
First Address | Orlando, FL 32891-7770 |
Second Address | Tampa, FL 33607-6307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
019092300 | (05) | FL |
X6UUN | BLUE CROSS AND BLUE SHIELD (01) | FL |