Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 25738 | FL |
NPI | 1104890649 |
---|---|
Provider Name | Dr. Elysee H Sinclair |
First Address | Coral Springs, FL 33065-6152 |
Second Address | Coral Springs, FL 33065-6152 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 28/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D58663 | (02) | FL |