Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | ME23576 | FL |
NPI | 1073854337 |
---|---|
Provider Name | Dr. Joseph J Fiala |
First Address | Seminole, FL 33775 |
Second Address | Seminole, FL 33776-3830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2013 |
Last Update Date | 12/03/2013 |