Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME 91234 | FL |
NPI | 1003858903 |
---|---|
Provider Name | Dr. Jodie A. Armstrong |
First Address | Ocala, FL 34471-4452 |
Second Address | The Villages, FL 32162-5603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 30/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
271180000 | (05) | FL |
52042 | FLORIDA BLUE/BCBS (01) | FL |
I21304 | (02) |