Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN11663 | FL |
NPI | 1659309821 |
---|---|
Provider Name | Dr. Catherine Elizabeth Bridges |
First Address | Ocala, FL 34471-5532 |
Second Address | Ocala, FL 34475-6456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 23/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0709115-00 | (05) | FL |
U86543 | (02) | FL |