Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME0059799 | FL |
NPI | 1104042357 |
---|---|
Provider Name | Dr. Fred Joseph Turner |
First Address | Sarasota, FL 34243 |
Second Address | Sarasota, FL 34243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E83799 | (02) | FL |
ME0059799 | MEDICAL LICENSE (01) | FL |