Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | ME50187 | FL |
NPI | 1215923016 |
---|---|
Provider Name | Dr. Cecil Constantine Aird |
First Address | Tampa, FL 33613-3905 |
Second Address | Tampa, FL 33613-3905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 06/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040739900 | (05) | FL |
04442 | BCBSFL (01) | FL |
161339600 | DEPT OF LABOR (01) | FL |
B07151 | (02) | FL |