Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MFC1663 | FL |
NPI | 1003123415 |
---|---|
Provider Name | Dr. Gianluca Iacobellis |
First Address | Miami, FL 33136-1013 |
Second Address | Miami, FL 33136-1011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2010 |
Last Update Date | 25/09/2014 |