Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 104909 | FL |
NPI | 1184730889 |
---|---|
Provider Name | Dr. Eric Joseph Exelbert |
First Address | Hallandale Beach, FL 33009-4488 |
Second Address | Hollywood, FL 33021-5421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 23/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009103200 | (05) | FL |
20007531 | (05) | CO |
I27560 | (02) | CO |