Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 17558 | FL |
Y | 111NI0900X | Internist | 17558 | FL |
NPI | 1003051699 |
---|---|
Provider Name | Dr. Laura Munoz Beringer |
First Address | Stuart, FL 34995-0417 |
Second Address | Stuart, FL 34997-6572 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2008 |
Last Update Date | 18/10/2010 |