Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME115446 | FL |
NPI | 1053635482 |
---|---|
Provider Name | Dr. Julianne Martins Parente-Heck |
First Address | Orlando, FL 32819 |
Second Address | Orlando, FL 32819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2010 |
Last Update Date | 09/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
363467 | (05) | SC |
GP5462 | (05) | SC |