Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | ME40188 | FL |
NPI | 1093710618 |
---|---|
Provider Name | Dr. Harold S Rabinovitz |
First Address | Plantation, FL 33324 |
Second Address | Plantation, FL 33324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 23/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
062339300 | (05) | FL |
94001Z | (02) | FL |
D63092 | (02) | FL |