Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | MD208079 | LA |
Y | 207YS0123X | Facial Plastic Surgeon | ME144703 | FL |
NPI | 1275776940 |
---|---|
Provider Name | Dr. Hope Angela Bueller |
First Address | Tampa, FL 33619-8327 |
Second Address | Wesley Chapel, FL 33544-8199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2009 |
Last Update Date | 15/09/2020 |