Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0300X | Periodontist | 4764 | VA |
Y | 1223P0300X | Periodontist | 5511FLA | FL |
NPI | 1043307770 |
---|---|
Provider Name | Dr. Harold Ramsey Arthur SR. |
First Address | Maitland, FL 32751 |
Second Address | Maitland, FL 32751 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 08/07/2007 |