Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME0035710 | FL |
NPI | 1043221005 |
---|---|
Provider Name | Dr. Frederick Louis Slone |
First Address | Tampa, FL 33606-3808 |
Second Address | Tampa, FL 33606-3808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D58845 | (02) | FL |