Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD93989 | FL |
NPI | 1033189014 |
---|---|
Provider Name | Dr. Joann G Acuna |
First Address | Jacksonville, FL 32207 |
Second Address | Jacksonville, FL 32207-8345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 27/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101320894 | (05) | PA |
I35799 | (02) | PA |