Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD020523E | PA |
N | 111NI0900X | Internist | MD020523E | PA |
N | 207RN0300X | Nephrologist | MD020523E | PA |
NPI | 1003860925 |
---|---|
Provider Name | Dr. Clare Louise Dana |
First Address | West Palm Beach, FL 33410 |
Second Address | West Palm Beach, FL 33410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD020523E | LICENSE (01) | PA |
VAD000 | (02) |