Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 50631-20 | WI |
Y | 2080P0202X | Pediatric Cardiologist | ME110023 | FL |
NPI | 1073724068 |
---|---|
Provider Name | Dr. Jennifer Go Co-Vu |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 13/07/2011 |