Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | DN17202 | FL |
Y | 1223X0400X | Orthodontists | DN17202 | FL |
NPI | 1205800067 |
---|---|
Provider Name | Dr. Doraida Leon Abramowitz |
First Address | Winter Haven, FL 33881 |
Second Address | Winter Haven, FL 33881 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
076051000 | (05) | FL |