Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 2003018088 | MO |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME118202 | FL |
NPI | 1528158458 |
---|---|
Provider Name | Dr. Daniel L. Sontheimer |
First Address | Pensacola, FL 32501-2316 |
Second Address | Pensacola, FL 32501-1917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010399500 | (05) | FL |
F95011 | (02) |