Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS9921 | FL |
N | 111NI0900X | Internist | OS9921 | FL |
Y | 207RG0100X | Gastroenterologist | OS9921 | FL |
NPI | 1013119387 |
---|---|
Provider Name | Dr. Charlene Ann Lepane |
First Address | Celebration, FL 34747-4970 |
Second Address | Celebration, FL 34747-4970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 11/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FE664Z | (02) | FL |