Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | OS6893 | FL |
NPI | 1427096296 |
---|---|
Provider Name | Dr. Dina M Navarro |
First Address | Belfast, ME 04915-9100 |
Second Address | Pensacola, FL 32504-8926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 03/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
376701900 | (05) | FL |
F99945 | (02) | FL |