Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 002049 | GA |
N | 208000000X | Pediatrician | 2012-00170 | NC |
Y | 2080P0202X | Pediatric Cardiologist | ME119556 | FL |
NPI | 1164609970 |
---|---|
Provider Name | Dr. David Mark Drossner |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2008 |
Last Update Date | 29/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1164609970 | (05) | NC |
5920342 | (05) | NC |
ME119556 | STATE LICENSE (01) | FL |
Q0017E | (05) | SC |