Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | ME126674 | FL |
N | 207RP1001X | Pulmonary Disease | 223254 | NY |
NPI | 1174558076 |
---|---|
Provider Name | Dr. Feroza Daroowalla |
First Address | Maitland, FL 32751-7003 |
Second Address | Maitland, FL 32751-7003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02316241 | (05) | NY |
7000233 | AETNA (01) | NY |
7V2741 | EMPIRE BC.BS (01) | NY |
G41152 | (02) | NY |