Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | TRN10251 | FL |
Y | 2080P0203X | Pediatric Critical Care Doctor | ME 104137 | FL |
NPI | 1124223474 |
---|---|
Provider Name | Dr. Brent James Pfeiffer |
First Address | Miami, FL 33136-1005 |
Second Address | Miami, FL 33136-1005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 31/03/2011 |