Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | ME92009 | FL |
NPI | 1033150321 |
---|---|
Provider Name | Dr. Julio Antonio Batista |
First Address | Miami, FL 33144 |
Second Address | Miami, FL 33144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 19/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I51717 | (02) | FL |