Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS12010 | FL |
N | 111NI0900X | Internist | OS12010 | FL |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | OS12010 | FL |
NPI | 1053656561 |
---|---|
Provider Name | Dr. Jeremy Scott Bleicher |
First Address | Miami Beach, FL 33139-7301 |
Second Address | Miami Beach, FL 33139-7301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2012 |
Last Update Date | 18/12/2015 |